Whalio Doctors

NPI 1043205479

C C Young Memorial Home

Organisation Skilled Nursing Facility Dallas, TX

Practice location

Address
4849 W Lawther Dr, Dallas, TX 75214-1879
Phone
(214) 827-8080
Fax
(214) 370-2830
Mailing address
4847 W Lawther Dr Suite #100, Dallas, TX 75214-1853

Authorised official

Name
Catherine Anne Thomas
Title
Admin
Phone
(214) 841-2825

Registered specialties

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 110990 (TX)

Registry record

NPI
1043205479
Entity type
Organization
NPI issued
12 Sep 2005
Record last updated
4 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.