Organization
MAGNOLIA ASSISTED LIVING CORPORATION
Active
Other names
The Oaks Assisted Living Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E. GAY III (OWNER)
(979) 732-2347
Entity
Organization
Contact information
Practice address
203 CHARTER ST, COLUMBUS, TX 78934-1558
(979) 732-9590
(979) 732-9298
Mailing address
203 CHARTER ST, COLUMBUS, TX 78934-1558
(979) 732-9590
(979) 732-9298
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
030222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013679
—
TX
Enumeration date
01/03/2007
Last updated
08/01/2011
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