Organization
NEW HAVEN ASSISTED LIVING AND MEMORY CARE
Active
Other names
65 Alive, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD NICHOLLS (REGIONAL PRESIDENT)
(847) 975-1609
Entity
Organization
Contact information
Practice address
2300 FM 3009, SCHERTZ, TX 78154-2785
(210) 319-4965
(210) 319-4947
Mailing address
2300 FM 3009, SCHERTZ, TX 78154-2785
(210) 319-4965
(210) 319-4947
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
105480
TX
311500000X
Alzheimer Center (Dementia Center)
105481
TX
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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