Tcg Benbrook Al, LLC

NPI #1528283280 in Benbrook, Texas

Provider Information

NPI Number: 1528283280
Entity Type: Organization
Organization Name: Tcg Benbrook Al, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: COVENANT GROUP OF TEXAS, LP
Primary Specialty: Assisted Living Facility
Enumeration Date: Apr 16, 2007
Last Updated: Feb 17, 2015

Practice Location

Address: 4242 BRYANT IRVIN RD
Address 2: COVENANT PLACE OF BURLESON, LP
City: Benbrook
State: Texas
ZIP Code: 76109-4222
Phone: (817) 763-0088

Authorized Official

Name: MR. BRYAN D. MCCALEB
Title: PRESIDENT
Phone: (817) 446-4792

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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