Ltc of Austin County Iii, LLC

NPI #1386954469 in Bellville, Texas

Provider Information

NPI Number
1386954469
Entity Type
Organization
Organization Name
Ltc of Austin County Iii, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 7, 2010
Last Updated
Oct 27, 2011

Practice Location

Address
1517 W MAIN ST
State
Texas
ZIP Code
77418-9737
Phone
(979) 865-3969

Authorized Official

Name
CELINA C SHARIFF
Title
MANAGER
Phone
(832) 651-3694

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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