# STRAWBERRY LANE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497026827
- **Authorized official:** TAMMY BALDWIN (COTA)
- **Authorized official phone:** (936) 355-1272

## Contact information

- **Practice address:** 417 OAKLAND LN, CONROE, TX 77302-1216
- **Practice address phone:** (936) 355-1272
- **Mailing address:** 417 OAKLAND LN, CONROE, TX 77302-1216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 209506 | TX | Yes |

## Other

- **Enumeration date:** 01/17/2012
- **Last updated:** 01/17/2012