Provider Demographics
NPI:1558798652
Name:LIVING CARE FRISCO LP
Entity Type:Organization
Organization Name:LIVING CARE FRISCO LP
Other - Org Name:THE LODGE ON PRESTON RIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:DENIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-441-1770
Mailing Address - Street 1:146 N CANAL ST STE 220
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8652
Mailing Address - Country:US
Mailing Address - Phone:206-441-1770
Mailing Address - Fax:206-441-1977
Practice Address - Street 1:5850 OHIO DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-7096
Practice Address - Country:US
Practice Address - Phone:972-668-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility