4607 East California Abl I Operations LLC
NPI #1265180053 in Forest Hill, Texas
Provider Information
- NPI Number
- 1265180053
- Entity Type
- Organization
- Organization Name
- 4607 East California Abl I Operations LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 11, 2022
- Last Updated
- Aug 10, 2023
Practice Location
- Address
- 4607 E CALIFORNIA PKWY
- City
- Forest Hill
- State
- Texas
- ZIP Code
- 76119-7571
- Phone
- (817) 247-8259
Authorized Official
- Name
- MR. JASON E QUICK, CFO
- Title
- AUTHORIZED REPRESENTATIVE
- Phone
- (817) 475-3521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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