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Organization

THE VILLAGE AT GLEANNLOCH FARMS, INC

Active
Other names
The Village at Gleannloch Farms
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TAB ALLEN WERNER LNFA (DIRECTOR OF HEALTH SERVICES)
(281) 430-4941
Entity
Organization

Contact information

Practice address
9505 NORTHPOINTE BLVD, SPRING, TX 77379-3799
(281) 430-4941
(281) 430-4907
Mailing address
9505 NORTHPOINTE BLVD, SPRING, TX 77379-3799
(281) 430-4941
(281) 430-4907

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
127078
TX
314000000X
Skilled Nursing Facility
Primary
126881
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001017154
TX
Enumeration date
07/07/2008
Last updated
08/12/2009
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