Organization
COUNTRY LIVING ADULT FOSTER CARE
Active
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
Update your record
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