My Beach House LLC

NPI #1730370883 in Seymour, Texas

Provider Information

NPI Number
1730370883
Entity Type
Organization
Organization Name
My Beach House LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Aug 5, 2007
Last Updated
Aug 5, 2007

Practice Location

Address
508 S DONALD ST
State
Texas
ZIP Code
76380-2812
Phone
(940) 889-4911

Authorized Official

Name
MRS. GLENNA JO DECKER, LVN
Title
MANAGER
Phone
(940) 889-4911

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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