Organization · Type 2 NPI
Enchanted Pines, Inc.
Assisted Living Facility · Crockett, TX
NPI number
1740474261
Active
Practice location
1154 E Loop 304
Crockett, TX 75835-1810
Fax (936) 546-2694
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 000617 (TX) |
Assisted Living Facility: 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.
About NPI 1740474261
Enchanted Pines, Inc.'s National Provider Identifier is 1740474261, issued on Aug 28, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Crockett, TX. The record was last updated on Nov 3, 2014.