Organization
REVERED TEXAN HEARTH & HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN DENISE ASHCRAFT RN (OWNER/MANAGER)
(979) 266-9982
Entity
Organization
Contact information
Practice address
1005 SYCAMORE ST, LAKE JACKSON, TX 77566-6137
(979) 266-9982
(979) 266-9982
Mailing address
1005 SYCAMORE ST, LAKE JACKSON, TX 77566-6137
(979) 266-9982
(979) 266-9982
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
130441
TX
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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