CLEAR LAKE MEMORY CARE LLC NPI 1881954592

NPI Information

CLEAR LAKE MEMORY CARE, LLC is an assisted living facility in Irving, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CLEAR LAKE MEMORY CARE, LLC NPI is 1881954592. The provider is registered as an organization entity type.
The provider Is Doing Business As Autumn Leaves Of Clear Lake.

The provider's business location address is:

545 E JOHN CARPENTER FWY
SUITE 500
IRVING, TX
ZIP 75062-931
Phone: (214) 845-4500
Fax: (214) 845-4501

The provider's authorized official is Chad Anderson .
The authorized official title is President and has the following contact phone number (214) 845-4500.

The enumeration date for this NPI number is 5/29/2012 and was last updated on 5/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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