Organization · Type 2 NPI

Clean Country Livin LLC

Lodging Provider · Spring Branch, TX

NPI number 1194311639 Active

Practice location

27158 Triton Dr
Spring Branch, TX 78070-5043

Specialties and licenses

TaxonomyCodeLicense
Lodging Provider Primary 177F00000XNone listed

Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

About NPI 1194311639

Clean Country Livin LLC's National Provider Identifier is 1194311639, issued on Dec 18, 2020. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Spring Branch, TX. The record was last updated on Dec 18, 2020.