Organization
ABEBE ESTIFANOS DBA SAINT MARY'S ASSISTED LIVING FACILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTIFANOS DEMELASH ABEBE (OWNER)
(512) 909-7759
Entity
Organization
Contact information
Practice address
1826 RACHEL LN, ROUND ROCK, TX 78664-7455
(512) 909-7759
Mailing address
1826 RACHEL LN, ROUND ROCK, TX 78664-7455
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
141177
TX
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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