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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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