Organization
LIVE OAK MANAGEMENT, L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE UNDERWOOD (PARTNER)
(940) 374-3804
Entity
Organization
Contact information
Practice address
300 E DEVEREAUX ST, DECATUR, TX 76234-3033
(940) 627-1104
(940) 627-1159
Mailing address
9450 FM 2210 E, POOLVILLE, TX 76487-5028
(940) 374-3804
(940) 374-3069
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
132992
TX
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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