Jeannette R Brantley

NPI #1407931009 in Riesel, Texas

Provider Information

NPI Number
1407931009
Entity Type
Organization
Organization Name
Jeannette R Brantley
Primary Specialty
Assisted Living Facility
Enumeration Date
Oct 25, 2006
Last Updated
Jun 16, 2008

Practice Location

Address
6016 W LAKE CREEK RD
City
Riesel
State
Texas
ZIP Code
76682-3504
Phone
(254) 875-9525

Authorized Official

Name
JEANNETTE R BLACK
Title
OWNER/ADMINISTRATOR
Phone
(254) 875-9525

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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