Organization
KILGORE AL MANAGEMENT LLC
Active
Other names
Arabella of Kilgore
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WAYNE POWELL JR. (PRESIDENT)
(817) 386-8888
Entity
Organization
Contact information
Practice address
2103 CHANDLER ST, KILGORE, TX 75662-3741
(903) 984-8839
Mailing address
3973 W VICKERY BLVD, FORT WORTH, TX 76107-6492
(817) 386-8888
(817) 386-8324
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
103201
TX
Other
Enumeration date
02/01/2016
Last updated
02/01/2016
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