Organization
MAC'S ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVETTA EVYONNE HALL (OWNER)
(903) 467-4789
Entity
Organization
Contact information
Practice address
600 NE 2ND ST, KERENS, TX 75144-2725
(903) 467-4789
(903) 396-7518
Mailing address
600 NE 2ND ST, KERENS, TX 75144-2725
(903) 467-4789
(903) 396-7518
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
104659
TX
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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