Organization
SFL ELK CREEK BURLESON LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE WAYNE POWELL (PRESIDENT)
(817) 386-8888
Entity
Organization
Contact information
Practice address
247 ELK DR, BURLESON, TX 76028-5870
(817) 386-8888
Mailing address
3973 W VICKERY BLVD, SUITE 101, FORT WORTH, TX 76107-6492
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
TX
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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