Organization
THE LODGE AT GUN BARREL CITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEELA SINGAPERUMAL (OWNER)
(903) 434-9408
Entity
Organization
Contact information
Practice address
155 DUNAWAY AVE, GUN BARREL CITY, TX 75156
(903) 608-9024
Mailing address
300 COUNTY ROAD 1048, MT PLEASANT, TX 75455-5277
(903) 434-9408
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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