Organization
THREE RIVERS ADVISORS, LLC
Active
Other names
Hunters Lane Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE ALEXIS COCHRAN LVN (ADMINISTRATOR)
(704) 470-7640
Entity
Organization
Contact information
Practice address
11300 HUNTERS LN, AUSTIN, TX 78753-2652
(512) 900-3306
(512) 518-3656
Mailing address
11300 HUNTERS LN, AUSTIN, TX 78753-2652
(512) 962-9919
(512) 518-3656
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106824
STATE LICENSURE
TX
Enumeration date
01/14/2019
Last updated
01/14/2019
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