Esc Iv, Lp

NPI 1023239498 - Assisted Living Facility - 310400000X

NPI Details
NPI 1023239498
Enumeration Date 05/01/2007
Last Updated 06/13/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BRYAN BRYAN
Position EVP, CHIEF ADMIN. OFFICER
Phone (254) 714-2222
Fax (254) 714-0023
Practice Location
3801 MARTIN LUTHER KING JR BVD
WACO TX, 76708, US
Phone (254) 714-2222
Fax (254) 714-0023
Business Location
6737 W WASHINGTON ST STE 2300
MILWAUKEE WI, 53214-5650, US
Phone (414) 918-5000
Fax (206) 301-4500
Toxanomy
Taxonomy Code 310400000X
License State Texas
License Number 118615
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According to our database, Esc Iv, Lp NPI is 1023239498, taxonomy code is 310400000X and license number is 118615, license state is located at Texas. Esc Iv, Lp physically located at 3801 Martin Luther King Jr Bvd, Waco TX, 76708. NPI Number 1033115704 has the healthcare provider type.

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1023239498 NPI number is provided on an as is basis without warranty of any kind. 1023239498 is maintained by the National Plan & Provider Enumeration System. The contents of Esc Iv, Lp are for informational purposes only.