Manor Assisted Care LLC

NPI #1609011303 in Desoto, Texas

Provider Information

NPI Number: 1609011303
Entity Type: Organization
Organization Name: Manor Assisted Care LLC
Primary Specialty: Ambulance
Enumeration Date: Dec 9, 2008
Last Updated: Nov 30, 2009

Practice Location

Address: 104 CHOWNING DR
Address 2: SUITE 104
City: Desoto
State: Texas
ZIP Code: 75115-4900
Phone: (972) 224-4015

Authorized Official

Name: KEITH A POWELL
Title: MANAGING MEMBER
Phone: (972) 224-4015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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