Organization · Type 2 NPI
Medallion
Assisted Living Facility · Dallas, TX
NPI number
1750503892
Active
Practice location
12400 Preston Road
Dallas, TX 75230
Fax (503) 485-1279
Mailing address
PO Box 3006
Salem, OR 97302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: 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.
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About NPI 1750503892
Medallion's National Provider Identifier is 1750503892, issued on May 2, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Dallas, TX. The record was last updated on Aug 22, 2020.