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Jeannette R Brantley
Assisted Living Facility in Riesel, Texas
NPI 1407931009

Jeannette R Brantley is an Assisted Living Facility based in Riesel, TX. Jeannette R Brantley practices in Riesel, TX. The NPI Number for Jeannette R Brantley is 1407931009 and holds a License No. 000598 (Texas).

The current practice location address for Jeannette R Brantley is 6016 W Lake Creek Rd, Riesel, TX and can be reached out via phone at 254-875-9525 and via fax at 254-875-9526.

Location: 6016 W Lake Creek Rd, Riesel, TX, 76682-3504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407931009
Provider Name
Jeannette R Brantley
Credential
Provider Entity Type
Organization
Address
6016 W Lake Creek Rd, Riesel, TX, 76682-3504
Phone Number
254-875-9525
Fax Number
254-875-9526
Provider Enumeration Date
10/25/2006
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
6016 W Lake Creek Rd
City
Riesel
State
Texas
Zip
76682-3504
Phone Number
254-875-9525
Fax Number
254-875-9526
person
Provider Business Mailing Address Details
Address
6016 W Lake Creek Rd
City
Riesel
State
Texas
Zip
76682-3504
Phone Number
254-875-9525
Fax Number
254-875-9526
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
000598 (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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