Organization
THE LODGE AT ROCKY HOLLOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HOPE PAFFE (OWNER)
(254) 793-2311
Entity
Organization
Contact information
Practice address
1650 COUNTY ROAD 245, GEORGETOWN, TX 78633-4476
(254) 793-2311
(254) 793-2554
Mailing address
1650 COUNTY ROAD 245, GEORGETOWN, TX 78633-4476
(254) 793-2311
(254) 793-2554
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
102467
TX
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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