Midtown 2013 Re, LLC
NPI #1215322169 in Midlothian, Texas
Provider Information
- NPI Number
- 1215322169
- Entity Type
- Organization
- Organization Name
- Midtown 2013 Re, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 30, 2015
- Last Updated
- Mar 30, 2015
Practice Location
- Address
- 910 S. 9TH STREET
- City
- Midlothian
- State
- Texas
- ZIP Code
- 76065
- Phone
- (469) 615-0720
Authorized Official
- Name
- LAWRENCE WAYNE POWELL JR.
- Title
- PRESIDENT
- Phone
- (817) 386-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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