Wpal 2015 LLC
NPI #1760935068 in Willow Park, Texas
Provider Information
- NPI Number
- 1760935068
- Entity Type
- Organization
- Organization Name
- Wpal 2015 LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Aug 3, 2016
- Last Updated
- Aug 3, 2016
Practice Location
- Address
- 178 CROWN POINTE BLVD
- City
- Willow Park
- State
- Texas
- ZIP Code
- 76087
- Phone
- (817) 386-8326
Authorized Official
- Name
- LAWRENCE WAYNE POWELL
- Title
- MEMBER
- Phone
- (817) 386-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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