Individual
MISS LACRESA MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1807 SPRINGDALE RD, AUSTIN, TX 78721-1348
(281) 570-5788
Mailing address
1807 SPRINGDALE RD, AUSTIN, TX 78721-1348
(512) 570-5788
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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