OrganizationActive
Clean Country Livin LLC
NPI 1194311639 · Lodging Provider · Spring Branch, TX
Provider details
- NPI number
- 1194311639
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Sylvia Black, Director of Billing and Insurance(830) 387-2065
Specialties & taxonomies
Other Service Providers
Practice location
27158 Triton Dr
Spring Branch, TX 78070-5043
Phone: (830) 387-2065
Approximate (ZIP-level) locationGet directions
Mailing address
27158 Triton Dr
Spring Branch, TX 78070-5043
Registry dates
- Enumerated
- 2020-12-18
- Last updated
- 2020-12-18
- Certified
- 2020-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.