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Organization

PINE TREE ASSISTED LIVING, L.P.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEANN MUSE (ADMINISTRATOR)
(281) 487-3113
Entity
Organization

Contact information

Practice address
5128 PINE AVE, PASADENA, TX 77503-3765
(281) 487-3113
(281) 487-5818
Mailing address
5128 PINE AVE, PASADENA, TX 77503-3765
(281) 487-3113
(281) 487-5818

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
116607
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001014061
DEPARTMENT OF AGING AND DISABILITY SERVICES
TX
05
001014601
TX
Enumeration date
11/08/2006
Last updated
06/19/2008
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