Organization
SEASONS ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN MEDLIN (CEO)
(936) 274-3177
Entity
Organization
Contact information
Practice address
1 BRIARWOOD DR, CONROE, TX 77301-1964
(936) 274-3177
(936) 249-6486
Mailing address
12542 SAVAGE CT, MAGNOLIA, TX 77354-3636
(936) 274-3177
(936) 249-6486
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104330
HHSC FACILITY ID#
TX
01
—
110211
HHSC FACILITY ID #
TX
01
—
146856
HHSC LICENSE #
TX
01
—
307467
HHSC LICENSE #
TX
Enumeration date
10/11/2021
Last updated
10/11/2021
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