Provider Demographics
NPI:1518575307
Name:BSLC FRISCO, LLC
Entity Type:Organization
Organization Name:BSLC FRISCO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TOMMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-619-4599
Mailing Address - Street 1:15475 GLENEAGLE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80921-2596
Mailing Address - Country:US
Mailing Address - Phone:719-650-7757
Mailing Address - Fax:
Practice Address - Street 1:10588 LEGACY DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-6516
Practice Address - Country:US
Practice Address - Phone:214-619-4599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BETHESDA FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-17
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)