Organization
CSL 2015 ATHENS LLC
Active
Other names
Arabella of Athens
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WAYNE POWELL JR. (PRESIDENT)
(817) 386-8888
Entity
Organization
Contact information
Practice address
413 GIBSON RD, ATHENS, TX 75751-5750
(903) 675-1995
Mailing address
3973 W VICKERY BLVD, SUITE 101, FORT WORTH, TX 76107-6492
(817) 386-8888
(817) 386-8324
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
142240
TX
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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