Organization
COUNTRY LIVING ADULT FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CHARLOTTE LEE LVN (OWNER OPERATOR)
(830) 444-1395
Entity
Organization
Contact information
Practice address
175 COUNTY ROAD 6721, NATALIA, TX 78059-2123
(830) 444-1395
Mailing address
175 COUNTY ROAD 6721, NATALIA, TX 78059-2123
(830) 444-1394
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
121380
TX
Other
Enumeration date
06/11/2008
Last updated
12/19/2019
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