Whalio Doctors

NPI 1194311639

Clean Country Livin LLC

Organisation Lodging Provider Spring Branch, TX

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
Other Service Providers Taxonomy 177F00000X

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.