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Organization
TECHOTA OF TEXAS LLC
Active
Organization
TECHOTA OF TEXAS LLC
Active
Other names
Lakeway at Home of Austin
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS JEAN ROBERTSON RN (MANAGING MEMBER)
(615) 297-3511
Entity
Organization
Contact information
Practice address
2802 FLINTROCK TRCE, SUITE 205, AUSTIN, TX 78738-1743
(615) 297-3511
Mailing address
176 THOMPSON LN, SUITE 103, NASHVILLE, TN 37211-2448
(615) 297-3511
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/07/2012
Last updated
09/14/2012
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