Organization · NPI-2
Austin Senior Care
Assisted Living Facility · Austin, TX
NPI number1124186473
StatusActive
Last updated in NPPESJul 16, 2008
Details
- NPI
- 1124186473
- Entity type
- Organization (NPI-2)
- Legal business name
- Austin Senior Care
- Organization subpart
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Jul 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 001013689 | TX | Yes |
| 310400000X | Assisted Living Facility | 115046 | TX |
Practice location
1414 Cardinal Hill DrAustin, TX 78758
Phone 512-853-9503 · Fax 512-692-7648
Mailing address
3318 Cantera WayRound Rock, TX 78681
Authorized official
Cyushika Lashay Brooks-Harper
Owner
5124314093
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