Mayberry Gardens

LBN: Mg Al Grand Prairie Llc
Mayberry Gardens is an health care organization with primary practice located at 540 E Polo Rd Bldg 3 , Grand Prairie TX 75052-3503. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Mg Al Grand Prairie Llc can be contacted via phone (972) 975-9044, or through Hewitt, Adrian via phone (972) 213-8135.

Contact Information

Primary practice address
540 E Polo Rd Bldg 3 Grand Prairie TX 75052-3503
Phone: (972) 975-9044
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hewitt, Adrian
Phone: (972) 213-8135

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1790309482
LBN Legal business name Mg Al Grand Prairie Llc
DBA Doing business as Mayberry Gardens
Authorized official Hewitt, Adrian
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2020
Last updated Jun 10th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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