Organization
BETHANY PLACE I LTD
Active
Other names
Ashwood Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
AW RUTTER (AUTHORIZED OFFICER)
(915) 683-1732
Entity
Organization
Contact information
Practice address
12151 HUNTERS CHASE DR, AUSTIN, TX 78729-7960
(512) 336-4100
Mailing address
PO BOX 3186, MIDLAND, TX 79702-3186
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
030303
TX
Other
Enumeration date
09/12/2005
Last updated
08/22/2020
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