| Wallace Place In The Pines | |
|
1706 Davis Ave Livingston TX 77351-2004 | |
| (936) 223-4542 | |
| Not Available |
| Full Name | Wallace Place In The Pines |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 1706 Davis Ave, Livingston, Texas |
| Authorized Official Name and Position | Barbara Ann Wallace (OWNER) |
| Authorized Official Contact | 9366625617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Place In The Pines 1706 Davis Ave Livingston TX 77351-2004 Ph: (936) 223-4542 | Wallace Place In The Pines 1706 Davis Ave Livingston TX 77351-2004 Ph: (936) 223-4542 |
| NPI Number | 1194382374 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 06/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194382374 | NPI | - | NPPES |
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