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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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