Organization
WOODVILLE A.L. HOME LLC
Active
Other names
The Orchard Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
LOREE TAMAYO (CEO)
(210) 326-6662
Entity
Organization
Contact information
Practice address
805 W DOGWOOD ST, WOODVILLE, TX 75979-4700
(409) 283-5678
Mailing address
18843 REDLAND RD, SAN ANTONIO, TX 78259-3562
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146340
ASSISTED LIVING LICENSE
TX
Enumeration date
09/21/2017
Last updated
06/16/2018
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