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C.C. YOUNG MEMORIAL HOME

Hospice, Inpatient

Dallas, Texas

Provider NPI: 1700083524

Organization Information:
Organization Name:  C.C. YOUNG MEMORIAL HOME


Practice Location:
4829 W. LAWTHER DR  DALLAS, TX 75214 US
Tel: 214-841-2825  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315D00000XNursing & Custodial Care Facilities
Hospice, Inpatient
TX451790

Other Provider Identifiers:

IssuerNumberStateType
001013912TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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