Organization
COMANCHE COUNTY ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELIA KAY MONTGOMERY (ADMINISTRATOR)
(325) 356-9303
Entity
Organization
Contact information
Practice address
100 ALAMO, COMANCHE, TX 76442-2063
(325) 356-9303
(325) 356-3875
Mailing address
100 ALAMO, COMANCHE, TX 76442-2063
(325) 356-9303
(325) 356-3875
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
116881
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1014590
CBA CONTRACT NUMBER
TX
Enumeration date
10/24/2006
Last updated
08/22/2020
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