San Augustine Management LLC
NPI #1457985400 in San Augustine, Texas
Provider Information
- NPI Number
- 1457985400
- Entity Type
- Organization
- Organization Name
- San Augustine Management LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 28, 2020
- Last Updated
- Jul 18, 2022
Practice Location
- Address
- 1997 DAVIDSON DR
- City
- San Augustine
- State
- Texas
- ZIP Code
- 75972-9788
- Phone
- (936) 275-0222
Authorized Official
- Name
- RUSSELL SHEPPEL
- Title
- MANAGER
- Phone
- (805) 556-5467
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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