Provider Demographics
NPI:1629660410
Name:STILL MANAGEMENT LLC
Entity Type:Organization
Organization Name:STILL MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-830-7554
Mailing Address - Street 1:PO BOX 2252
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-0047
Mailing Address - Country:US
Mailing Address - Phone:469-879-3396
Mailing Address - Fax:682-422-3181
Practice Address - Street 1:2768 PARK PL
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-8582
Practice Address - Country:US
Practice Address - Phone:469-879-3396
Practice Address - Fax:682-422-3181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX308052OtherASSISTED LIVING FACILITY TYPE A LICENSE