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IND HALL LLC NPI 1568890820


NPI Information

NPI: 1568890820
Provider Name: IND HALL LLC

Doing Business As: INDEPENDENCE HALL

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1210 JACKSON ST
BOWIE, TX
ZIP 76230
Phone: (940) 872-9718
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IND HALL LLC is an assisted living facility in Bowie, TX. The provider is 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. IND HALL LLC NPI is 1568890820. The provider is registered as an organization entity type.
The provider Is Doing Business As Independence Hall.

The provider's business location address is:

1210 JACKSON ST
BOWIE, TX
ZIP 76230-034
Phone: (940) 872-9718
Fax: (940) 872-8590

The provider's authorized official is Jon R Evans .
The authorized official title is Owner and has the following contact phone number (817) 475-0409.

The enumeration date for this NPI number is 10/24/2013 and was last updated on 10/24/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility133835TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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