Organization
TREELINE LIVING CENTER LTD
Active
Other names
Treeline Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE HAWKER (CFO)
(210) 340-7155
Entity
Organization
Contact information
Practice address
2404 N MEDFORD DR, LUFKIN, TX 75901-3452
(936) 639-1206
(936) 639-3492
Mailing address
845 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 340-7155
(210) 340-4832
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
003799
TX
Other
Enumeration date
05/23/2006
Last updated
08/22/2020
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