Organization
PEACH CREEK ALF 1 LLC
Active
Other names
Peach Creek Assisted Living Facility
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL HARRIS BSN, RN (OWNER)
(979) 431-4135
Entity
Organization
Contact information
Practice address
1488 STOKES CIR, COLLEGE STATION, TX 77845-8772
(979) 431-4135
(855) 662-8109
Mailing address
1488 STOKES CIR, COLLEGE STATION, TX 77845-8772
(979) 431-4135
(855) 662-8109
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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