Organization
HOME AWAY FROM HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA L SAUCEDO (BSN, RN, OWNER)
(254) 965-4503
Entity
Organization
Contact information
Practice address
718 W COLLEGE ST, STEPHENVILLE, TX 76401-4816
(254) 965-4503
Mailing address
718 W COLLEGE ST, STEPHENVILLE, TX 76401-4816
(254) 965-4503
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
128912
TX
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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