PRESTONWOOD ENCORE ADEC, LLC


Address: 6505 W Park Blvd Ste 116, Plano, TX 75093-6210
Phone: 9724285400

PRESTONWOOD ENCORE ADEC, LLC (NPI# 1083183065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083183065
Entity Type Organization
Organization Name PRESTONWOOD ENCORE ADEC, LLC
Practice Address 6505 W Park Blvd Ste 116
Plano
TX 75093-6210
Practice Telephone 9724285400
Practice Fax Number 9724285401
Mailing Telephone 9724285400
Mailing Fax Number 9724285401
Enumeration Date 2018-11-19
Last Update Date 2018-11-19
Authorized Official Name CHRISTOPHER LESTER (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 9724285400
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Office Location

Street Address 6505 W PARK BLVD STE 116
City PLANO
State TX
Zip Code 75093-6210

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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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Competitor

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City PLANO
Zip Code 75093

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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