NPI 1194311639
Clean Country Livin LLC
Practice location
- Address
- 27158 Triton Dr, Spring Branch, TX 78070-5043
- Phone
- (830) 387-2065
Authorised official
- Name
- Sylvia Black
- Title
- Director of Billing and Insurance
- Phone
- (830) 387-2065
Registered specialties
Lodging Provider
Primary
Registry record
- NPI
- 1194311639
- Entity type
- Organization
- NPI issued
- 18 Dec 2020
- Record last updated
- 18 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.