Organization
SANDHILL VERNON, LLC
Active
Other names
Eagle Flats Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRABHAS K KERJRIWAL (OWNER)
(650) 996-7801
Entity
Organization
Contact information
Practice address
4501 COLLEGE DR, VERNON, TX 76384-4093
(940) 552-8181
(940) 552-6288
Mailing address
4501 COLLEGE DR, VERNON, TX 76384-4093
(940) 552-8181
(940) 552-6288
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014752
—
TX
Enumeration date
01/03/2014
Last updated
01/03/2014
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