Organization
EXTENDED FAMILY LIVING/JOSEPH LOGSDON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH E. LOGSDON (OWNER OPERATOR)
(940) 742-4036
Entity
Organization
Contact information
Practice address
606 6TH AVE, ROCHESTER, TX 79544-2010
(940) 742-4036
(940) 742-7702
Mailing address
606 6TH AVE, ROCHESTER, TX 79544-2010
(940) 742-4036
(940) 742-7702
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004931
—
TX
Enumeration date
04/13/2007
Last updated
06/26/2008
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