Organization
TENAHA CREEK LLC
Active
Other names
LAKESIDE VILLAGE ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SAINTIGNAN (ADMINISTRATOR/OWNER)
(936) 590-9300
Entity
Organization
Contact information
Practice address
1468 LOOP 500, CENTER, TX 75935
(936) 590-9300
(936) 590-9315
Mailing address
1468 LOOP 500, CENTER, TX 75935
(936) 590-9300
(936) 590-9315
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
131183
TX
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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