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Enchanted Pines, Inc.
Assisted Living Facility in Crockett, Texas
NPI 1740474261

Enchanted Pines, Inc. is an Assisted Living Facility based in Crockett, TX. Enchanted Pines, Inc. practices in Crockett, TX. The NPI Number for Enchanted Pines, Inc. is 1740474261 and holds a License No. 000617 (Texas).

The current practice location address for Enchanted Pines, Inc. is 1154 E Loop 304, Crockett, TX and can be reached out via phone at 936-544-5065 and via fax at 936-546-2694.

Location: 1154 E Loop 304, Crockett, TX, 75835-1810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740474261
Provider Name
Enchanted Pines, Inc.
Credential
Provider Entity Type
Organization
Address
1154 E Loop 304, Crockett, TX, 75835-1810
Phone Number
936-544-5065
Fax Number
936-546-2694
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001004039 05 TX
001004040 05 TX
institution
Provider Business Practice Location Address Details
Address
1154 E Loop 304
City
Crockett
State
Texas
Zip
75835-1810
Phone Number
936-544-5065
Fax Number
936-546-2694
person
Provider Business Mailing Address Details
Address
1154 E Loop 304
City
Crockett
State
Texas
Zip
75835-1810
Phone Number
936-544-5065
Fax Number
936-546-2694
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
000617 (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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