Organization
TALL PINES ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE LEE OTT (MANAGER/OWNER)
(936) 967-3636
Entity
Organization
Contact information
Practice address
1437 S FM 1988, LIVINGSTON, TX 77351-4456
(936) 967-3636
(936) 967-3635
Mailing address
1437 S FM 1988, LIVINGSTON, TX 77351-4456
(936) 967-3636
(936) 967-3635
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
104411
TX
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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