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Organization

KNOPP ASSISTED LIVING CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROSALIND G CORNJEO (BILLING ADMINISTRATOR)
(830) 997-3704
Entity
Organization

Contact information

Practice address
202 BILLIE DR, FREDERICKSBURG, TX 78624-5056
(830) 997-7924
(888) 550-4105
Mailing address
202 BILLIE DR, FREDERICKSBURG, TX 78624-5056
(830) 997-7924
(888) 550-4105

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
136912
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136912
DADS
TX
Enumeration date
08/21/2014
Last updated
08/21/2014
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