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
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