Csl Azle 2016, LLC

NPI #1720574825 in Azle, Texas

Provider Information

NPI Number: 1720574825
Entity Type: Organization
Organization Name: Csl Azle 2016, LLC
Primary Specialty: Assisted Living Facility
Enumeration Date: Jul 2, 2018
Last Updated: Jul 2, 2018

Practice Location

Address: 1364 SOUTHEAST PKWY
City: Azle
State: Texas
ZIP Code: 76020-3920
Phone: (817) 629-5136

Authorized Official

Name: TANNER STIERWALT
Title: OPERATIONS
Phone: (817) 851-5805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility	310400000X	Primary

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