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Organization

RUBYE B LEWALLEN

Active
Other names
Lewallen Home
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RUBYE B LEWALLEN (OWNER)
(325) 597-9167
Entity
Organization

Contact information

Practice address
507 E 6TH ST, BRADY, TX 76825-5116
(325) 597-9167
(325) 597-4622
Mailing address
507 E 6TH ST, BRADY, TX 76825-5116
(325) 597-9167
(325) 597-4622

Taxonomy

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

Other

Enumeration date
04/02/2009
Last updated
04/02/2009
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