Organization
CONNIE'S ASSISTED LIVING HOME OF BEN HUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE LAREE HAMPTON (ADMINISTRATOR)
(254) 789-2296
Entity
Organization
Contact information
Practice address
980 FM 339 S, GROESBECK, TX 76642-5519
(254) 789-2296
(254) 789-2276
Mailing address
980 FM 339 S, GROESBECK, TX 76642-5519
(254) 789-2296
(254) 789-2276
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
000403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013306
—
TX
05
—
001013307
—
TX
Enumeration date
01/23/2007
Last updated
06/23/2008
Update your record
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