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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