Provider Demographics
NPI:1942833983
Name:QUALITY SENIOR LIVING INC
Entity Type:Organization
Organization Name:QUALITY SENIOR LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / BOOKKEEPER
Authorized Official - Prefix:
Authorized Official - First Name:LANELL
Authorized Official - Middle Name:
Authorized Official - Last Name:GERALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-439-8700
Mailing Address - Street 1:740 INTERSTATE HIGHWAY 30 E
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-6291
Mailing Address - Country:US
Mailing Address - Phone:903-439-8700
Mailing Address - Fax:
Practice Address - Street 1:7904 CHIESA RD
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75089-4562
Practice Address - Country:US
Practice Address - Phone:469-559-6601
Practice Address - Fax:972-755-4663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility