Organization Name: | TCG BENBROOK AL, LLC |
NPI Number: | 1528283280 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRYAN D. MCCALEB (PRESIDENT) |
Mailing Address: | 4242 Bryant Irvin Rd Covenant Place Of Burleson, Lp Benbrook |
State: | TX US |
Postal Code: | 761094222 |
Phone Number: | 8177630088 |
Fax Number: | 8177638841 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 02/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 000619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy 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. |