Organization · Type 2 NPI

Ccal 2013 Re, LLC

Assisted Living Facility · Mesquite, TX

NPI number 1922420132 Active

Practice location

711 Matador Ln
Mesquite, TX 75149-8830

Fax (972) 285-9134

Mailing address

3801 Hulen St, Suite 202
Fort Worth, TX 76107-7202

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X050648 (TX)

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 1922420132

Ccal 2013 Re, LLC's National Provider Identifier is 1922420132, issued on Jan 8, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mesquite, TX. The record was last updated on Jan 8, 2014.