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Organization

MARSHALL LAKE HEALTHCARE LLC

Active
Other names
Champions Healthcare at Willowbrook
Organization subpart
No

Provider details

NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization

Contact information

Practice address
7450 WILLOW CHASE BLVD, HOUSTON, TX 77070-5867
(281) 807-4744
(281) 807-6626
Mailing address
7450 WILLOW CHASE BLVD, HOUSTON, TX 77070-5867
(281) 807-4744
(281) 807-6626

Taxonomy

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

Other

Enumeration date
09/05/2023
Last updated
09/05/2023
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