Organization
KENNETH BEASON ALVIS HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BEASON (OWNER OPERATOR)
(940) 742-4159
Entity
Organization
Contact information
Practice address
805 CAROTHERS AVE, ROCHESTER, TX 79544-2001
(970) 742-4159
Mailing address
705 CAROTHERS AVE, ROCHESTER, TX 79544-2003
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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