Organization
SAL 2016 LLC
Active
Other names
Long Creek Assisted Living and Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WAYNE POWELL JR. (MEMBER)
(817) 386-8888
Entity
Organization
Contact information
Practice address
301 T. C. LUPTON BLVD, SUNNYVALE, TX 75182
(469) 563-7899
Mailing address
3973 W VICKERY BLVD, SUITE 101, FORT WORTH, TX 76107-6492
(817) 386-8888
(817) 386-8324
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
TX
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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