Provider Demographics
NPI:1225580152
Name:SCAL GARLAND LLC
Entity Type:Organization
Organization Name:SCAL GARLAND LLC
Other - Org Name:SILVER CREEK ASSISTED LIVING GARLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MITESH
Authorized Official - Middle Name:H
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-385-2295
Mailing Address - Street 1:1246 COLONEL DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1302
Mailing Address - Country:US
Mailing Address - Phone:469-814-0412
Mailing Address - Fax:469-814-0292
Practice Address - Street 1:1246 COLONEL DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1302
Practice Address - Country:US
Practice Address - Phone:469-814-0412
Practice Address - Fax:469-814-0292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility