Provider Demographics
NPI:1659503100
Name:MOUNT CARMEL LLC
Entity Type:Organization
Organization Name:MOUNT CARMEL LLC
Other - Org Name:CARMEL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERRILL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SLAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-939-1385
Mailing Address - Street 1:3823 WESTMINSTER DRIVE
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TEXAS
Mailing Address - Zip Code:75007
Mailing Address - Country:UM
Mailing Address - Phone:469-939-1385
Mailing Address - Fax:806-863-3157
Practice Address - Street 1:3823 WESTMINSTER DRIVE
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007
Practice Address - Country:US
Practice Address - Phone:469-939-1385
Practice Address - Fax:806-863-3157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization