Organization
LOST PINES PERSONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINNIE ELAINE HERDEN (OWNER)
(512) 988-9999
Entity
Organization
Contact information
Practice address
1093 GOTIER TRACE RD, PAIGE, TX 78659-4403
(512) 581-8027
Mailing address
1093 GOTIER TRACE RD, PAIGE, TX 78659-4403
(512) 581-8027
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/12/2011
Last updated
02/12/2011
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