Organization
ESC IV, LP
Active
Other names
Brookdale Tyler South
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA F.C. MUNOZ (ASSISTANT SECRETARY)
(414) 918-5443
Entity
Organization
Contact information
Practice address
5403 PLANTATION DR, TYLER, TX 75703-3442
(903) 534-4955
Mailing address
5403 PLANTATION DR, TYLER, TX 75703-3442
(903) 534-4955
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
010226
TX
311500000X
Alzheimer Center (Dementia Center)
010226
TX
Other
Enumeration date
10/28/2009
Last updated
03/19/2025
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