Organization
CSL CE STEPHENVILLE, LLC
Active
Other names
Good Tree Retirement
Organization subpart
No
Provider details
NPI number
Authorized official
GREG P BOEMER (REGIONAL MANAGER)
(214) 244-2300
Entity
Organization
Contact information
Practice address
2010 GOOD TREE ST, STEPHENVILLE, TX 76401-6026
(254) 965-9897
(254) 918-6003
Mailing address
14160 DALLAS PKWY STE 300, DALLAS, TX 75254-4383
(972) 308-8366
(972) 387-8216
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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