Organization
MIDTOWN 2013 RE, LLC
Active
Other names
Midtowne Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WAYNE POWELL JR. (PRESIDENT)
(817) 386-8888
Entity
Organization
Contact information
Practice address
910 S. 9TH STREET, MIDLOTHIAN, TX 76065
(469) 615-0720
Mailing address
3801 HULEN ST STE 202, FORT WORTH, TX 76107-7202
(817) 386-8888
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
03/30/2015
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