Organization
MA ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ALICE PERALTA (OWNER)
(830) 709-0247
Entity
Organization
Contact information
Practice address
185 COUNTY ROAD 679, NATALIA, TX 78059
(830) 709-4519
Mailing address
185 COUNTY ROAD 679, NATALIA, TX 78059
(830) 709-0247
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
134399
TX
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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