Organization
EAST TEXAS ALF WATERTON INN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA POWER (CFO)
(903) 792-0838
Entity
Organization
Contact information
Practice address
2885 SHILOH RD, TYLER, TX 75703-2936
(903) 939-9664
Mailing address
2885 SHILOH RD, TYLER, TX 75703-2936
(903) 939-9664
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
TX
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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