Provider Demographics
NPI:1174718571
Name:MONASH CARE CENTER
Entity type:Organization
Organization Name:MONASH CARE CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:DARWIN
Authorized Official - Suffix:
Authorized Official - Credentials:BBA
Authorized Official - Phone:214-545-8118
Mailing Address - Street 1:505 MONARCH DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-2275
Mailing Address - Country:US
Mailing Address - Phone:972-227-6844
Mailing Address - Fax:
Practice Address - Street 1:505 MONARCH DR
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-2275
Practice Address - Country:US
Practice Address - Phone:972-227-6844
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-09
Last Update Date:2007-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home