institution
Mshc Colonial Lodge Llc
Assisted Living Facility in Texarkana, Texas
NPI 1396800389

Mshc Colonial Lodge Llc is an Assisted Living Facility based in Tyler, TX. Mshc Colonial Lodge Llc practices in Texarkana, TX. The NPI Number for Mshc Colonial Lodge Llc is 1396800389 and holds a License No. 114502 (Texas).

The current practice location address for Mshc Colonial Lodge Llc is 5001 Elizabeth St, Texarkana, TX and can be reached out via phone at 903-792-0838 and via fax at 903-793-4562. You can also correspond with Mshc Colonial Lodge Llc through the mailing address at 1901 RICKETY LN, TYLER, TX - 75703-1702 (mailing address contact number: 903-534-8667).

Location: 5001 Elizabeth St, Texarkana, TX, 75703-1702
institution
Provider Profile Details
NPI Number
1396800389
Provider Name
Mshc Colonial Lodge Llc
Credential
Provider Entity Type
Organization
Address
5001 Elizabeth St, Texarkana, TX, 75703-1702
Phone Number
903-792-0838
Fax Number
903-793-4562
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0010136550 01 TX CBA CONTRACT
institution
Provider Business Practice Location Address Details
Address
5001 Elizabeth St
City
State
Zip
75503-2913
Phone Number
903-792-0838
Fax Number
903-793-4562
person
Provider Business Mailing Address Details
Address
5001 Elizabeth St
City
State
Zip
75503-2913
Phone Number
903-792-0838
Fax Number
903-793-4562
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
114502 (Texas)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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