Organization
IND HALL LLC
Active
Other names
Independence Hall
Organization subpart
No
Provider details
NPI number
Authorized official
JON R EVANS (OWNER)
(817) 475-0409
Entity
Organization
Contact information
Practice address
1210 JACKSON ST, BOWIE, TX 76230-3034
(940) 872-9718
(940) 872-8590
Mailing address
1210 JACKSON ST, BOWIE, TX 76230-3034
(940) 872-9718
(940) 872-8590
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
133835
TX
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up