Organization · Type 2 NPI

Monarch Holding, Inc.

Intellectual Disabilities Intermediate Care Facility · Desoto, TX

NPI number 1164623690 Active

Practice location

812 Live Oak Dr
Desoto, TX 75115-3402

Call (800) 299-5161 Map

Fax (817) 447-3033

Mailing address

4800 Overton Plz Ste 440
Fort Worth, TX 76109-4435

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	None listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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NPI record

NPI: 1164623690
Entity type: Organization (Type 2)
Issued: May 31, 2007
Last updated: Jan 20, 2021
Status: Active
Subpart: Yes of Monarch Holding, Inc.

Other names

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Live Oak · doing business as
Live Oak · doing business as

Authorized official

Anna Todd
Operations Business Manager
(800) 299-5161

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164623690

Monarch Holding, Inc.'s National Provider Identifier is 1164623690, issued on May 31, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Desoto, TX. The record was last updated on Jan 20, 2021.