Organization
BLUEBONNET ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER WOMACK (MANAGER)
(806) 676-7638
Entity
Organization
Contact information
Practice address
6301 BLAKE AVE, AMARILLO, TX 79119-7201
(806) 351-0686
(806) 467-1359
Mailing address
6301 BLAKE AVE, AMARILLO, TX 79119-7201
(806) 351-0686
(806) 467-1359
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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