Abebe Estifanos Dba Saint Mary'S Assisted Living Facility

Organization Active NPI Assisted Living Facility · Round Rock, TX

NPI 1043752199 · NPPES record last updated Nov 7, 2016

Key facts

NPI
1043752199
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
141177 (TX)
Legal business name
ABEBE ESTIFANOS DBA SAINT MARY'S ASSISTED LIVING FACILITY
Practice address
1826 Rachel LN
Round Rock, TX 78664-7455
Phone
(512) 909-7759
NPI assigned
Nov 7, 2016
Organization subpart
No

Authorized official

Name
Estifanos Demelash Abebe
Title
Owner
Phone
(512) 909-7759

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 141177 TX Yes

Addresses

Primary practice location

1826 Rachel LN
Round Rock, TX 78664-7455

Mailing address

1826 Rachel LN
Round Rock, TX 78664-7455

Other providers in Round Rock, TX

All providers in Round Rock, TX · Assisted Living Facility in Texas

Sources for this page

Verify at the official NPI Registry.