Organization
BRIDGEWOOD LAKE JACKSON, LLC
Active
Other names
Carriage Inn-Lake Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES D. GRAY (MANAGER)
(713) 623-6767
Entity
Organization
Contact information
Practice address
211 E PARKWOOD AVE STE 100, FRIENDSWOOD, TX 77546-5152
(281) 996-0101
(281) 996-1141
Mailing address
130 LAKE RD, LAKE JACKSON, TX 77566-3258
(979) 285-0300
(979) 285-0338
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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