Provider Demographics
NPI:1871722876
Name:ARBOR HOUSE
Entity type:Organization
Organization Name:ARBOR HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN DIR
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-459-0600
Mailing Address - Street 1:2215 ROCKBROOK DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-8317
Mailing Address - Country:US
Mailing Address - Phone:972-459-0600
Mailing Address - Fax:
Practice Address - Street 1:2215 ROCKBROOK DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-8317
Practice Address - Country:US
Practice Address - Phone:972-459-0600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-10
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)