Csl 2015 Longview LLC

NPI #1265890628 in Longview, Texas

Provider Information

NPI Number
1265890628
Entity Type
Organization
Organization Name
Csl 2015 Longview LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 1, 2016
Last Updated
Feb 1, 2016

Practice Location

Address
1155 E HAWKINS PKWY
State
Texas
ZIP Code
75605-8070
Phone
(903) 603-8886

Authorized Official

Name
LAWRENCE WAYNE POWELL JR.
Title
PRESIDENT
Phone
(817) 386-8888

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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