Organization
STRAWBERRY LANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY BALDWIN (COTA)
(936) 355-1272
Entity
Organization
Contact information
Practice address
417 OAKLAND LN, CONROE, TX 77302-1216
(936) 355-1272
Mailing address
417 OAKLAND LN, CONROE, TX 77302-1216
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
209506
TX
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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