Organization
SILVER CREEK PLACE LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA JUNE HETTICK B.S. , M.S. IN ED. (PRESIDENT)
(817) 300-7346
Entity
Organization
Contact information
Practice address
1300 SILVER CREEK AZLE RD, AZLE, TX 76020-3844
(817) 238-8126
Mailing address
1300 SILVER CREEK AZLE RD, AZLE, TX 76020-3844
(817) 238-8126
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
120021
TX
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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