Tenaha Creek Llc

NPI 1295032464 - Assisted Living Facility - 310400000X

NPI Details
NPI 1295032464
Enumeration Date 02/23/2011
Last Updated 02/23/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MARK MARK
Position ADMINISTRATOR/OWNER
Phone (936) 590-9300
Fax (936) 590-9315
Practice Location
1468 LOOP 500
CENTER TX, 75935, US
Phone (936) 590-9300
Fax (936) 590-9315
Business Location
1468 LOOP 500
CENTER TX, 75935, US
Phone (936) 590-9300
Fax (936) 590-9315
Toxanomy
Taxonomy Code 310400000X
License State Texas
License Number 131183
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According to our database, Tenaha Creek Llc NPI is 1295032464, taxonomy code is 310400000X and license number is 131183, license state is located at Texas. Tenaha Creek Llc physically located at 1468 Loop 500, Center TX, 75935. NPI Number 1033115704 has the healthcare provider type.

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1295032464 NPI number is provided on an as is basis without warranty of any kind. 1295032464 is maintained by the National Plan & Provider Enumeration System. The contents of Tenaha Creek Llc are for informational purposes only.