Organization
SOUTHWEST LTC - AUSTIN ALF, LLC
Active
Other names
Colonial Gardens of Austin A-2
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R PAYNE (MANAGER)
(469) 916-6100
Entity
Organization
Contact information
Practice address
3706 ADELPHI LN, AUSTIN, TX 78727-5308
(469) 916-6100
(469) 916-6105
Mailing address
5560 TENNYSON PKWY STE 210, PLANO, TX 75024-3582
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
143137
TX
Other
Enumeration date
03/31/2017
Last updated
11/11/2021
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