Revered Texan Hearth & Home, LLC
Assisted Living Facility in Lake Jackson, TX. Organization (NPI-2).
NPI number1487945705
StatusActive
Last updated in NPPESApr 20, 2011
Details
- NPI
- 1487945705
- Entity type
- Organization (NPI-2)
- Legal business name
- Revered Texan Hearth & Home, LLC
- Organization subpart
- No
- Enumeration date
- Apr 20, 2011
- Last updated
- Apr 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 130441 | TX | Yes |
Practice location
1005 Sycamore StLake Jackson, TX 77566-6137
Phone 979-266-9982 · Fax 979-266-9982
Mailing address
1005 Sycamore StLake Jackson, TX 77566-6137
Phone 979-266-9982 · Fax 979-266-9982
Authorized official
Karen Denise Ashcraft
Owner/Manager
9792669982
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Other Assisted Living Facility providers in Lake Jackson, TX
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All 5 Assisted Living Facility providers in Lake Jackson · All 740 providers in Lake Jackson
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