Organization
CSL AZLE 2016, LLC
Active
Other names
Legacy Oaks of Azle
Organization subpart
No
Provider details
NPI number
Authorized official
TANNER STIERWALT (OPERATIONS)
(817) 851-5805
Entity
Organization
Contact information
Practice address
1364 SOUTHEAST PKWY, AZLE, TX 76020-3920
(817) 629-5136
Mailing address
777 MAIN ST STE 2300, FORT WORTH, TX 76102-5304
(817) 851-5805
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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