# THE VILLAGE AT GLEANNLOCH FARMS, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Village at Gleannloch Farms
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710140173
- **Authorized official:** MR. TAB ALLEN WERNER LNFA (DIRECTOR OF HEALTH SERVICES)
- **Authorized official phone:** (281) 430-4941

## Contact information

- **Practice address:** 9505 NORTHPOINTE BLVD, SPRING, TX 77379-3799
- **Practice address phone:** (281) 430-4941
- **Practice address fax:** (281) 430-4907
- **Mailing address:** 9505 NORTHPOINTE BLVD, SPRING, TX 77379-3799
- **Mailing address phone:** (281) 430-4941
- **Mailing address fax:** (281) 430-4907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 127078 | TX | — |
| 314000000X | Skilled Nursing Facility | 126881 | TX | Yes |

## Other

- **Enumeration date:** 07/07/2008
- **Last updated:** 08/12/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001017154 | — | TX |