Organization
CONROE WM LLC
Active
Other names
Worthington Manor
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA UPSHUR (MANAGER)
(901) 202-6992
Entity
Organization
Contact information
Practice address
5416 W. DAVIS ST., CONROE, TX 77304
(971) 233-2836
Mailing address
5416 W. DAVIS ST., CONROE, TX 77304
(971) 233-2836
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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