Provider Demographics
NPI:1962828210
Name:SOMEWHERE ASSISTED LIVING LLC
Entity Type:Organization
Organization Name:SOMEWHERE ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:COVERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-783-4660
Mailing Address - Street 1:17810 DAVENPORT RD
Mailing Address - Street 2:SUITE 111
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-5889
Mailing Address - Country:US
Mailing Address - Phone:972-783-4660
Mailing Address - Fax:972-250-2075
Practice Address - Street 1:17810 DAVENPORT RD
Practice Address - Street 2:SUITE 111
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-5889
Practice Address - Country:US
Practice Address - Phone:972-783-4660
Practice Address - Fax:972-250-2075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility