Clean Country Livin LLC
NPI #1194311639 in Spring Branch, Texas
Provider Information
- NPI Number
- 1194311639
- Entity Type
- Organization
- Organization Name
- Clean Country Livin LLC
- Primary Specialty
- Lodging
- Enumeration Date
- Dec 18, 2020
- Last Updated
- Dec 18, 2020
Practice Location
- Address
- 27158 TRITON DR
- City
- Spring Branch
- State
- Texas
- ZIP Code
- 78070-5043
- Phone
- (830) 387-2065
Authorized Official
- Name
- SYLVIA BLACK
- Title
- DIRECTOR OF BILLING AND INSURANCE
- Phone
- (830) 387-2065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Lodging |
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