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Organization

HSMTX/WATERTON INN, LLC

Active
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Organization

HSMTX/WATERTON INN, LLC

Active
Other names
The Waterton Inn Assisted Living
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES A DAVIS (VP FINANCE)
(713) 934-7800
Entity
Organization

Contact information

Practice address
2885 SHILOH ROAD, TYLER, TX 75703
(903) 939-9664
(903) 939-0034
Mailing address
5300 HOLLISTER ST, SUITE 550, HOUSTON, TX 77040-6137
(713) 934-7800
(713) 895-0064

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
12/26/2007
Last updated
10/30/2009
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