Whalio Doctors

NPI 1508821760

Cimarron Livving Center LTD

Organisation Mental Illness Intermediate Care Facility Lewisville, TX

Practice location

Address
1680 S Edmonds Ln, Lewisville, TX 75067-5803
Phone
(972) 436-4538
Mailing address
845 Proton Rd, San Antonio, TX 78258-4203

Authorised official

Name
Mike Hawker
Title
Cfo
Phone
(210) 340-7155

Registered specialties

Mental Illness Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 003768 (TX)

Registry record

NPI
1508821760
Entity type
Organization
NPI issued
19 Apr 2006
Record last updated
22 Aug 2020

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.