SHORELINE, INC.
Residential Treatment Facilities in Taft, TX

License number
Texas 481A
Category
Residential Treatment Facilities
Type
Substance Abuse Treatment, Children
Owner
Name: EDDIE UNDERWOOD
Title: VICE PRESIDENT
Phone: (361) 528-3356
Address
Address
1220 Gregory St., Taft, TX 78390
National Provider ID: 1962559252
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SHORELINE INC

1220 Gregory St, Taft, TX 78390

Industry:
Hospitals
Phone:
(361) 528-3356 (Phone)
SIC:
8093 - Specialty Outpatient Facilities, Not Elsewhere Classified

SHORELINE, INC

PO Box 68, Taft, TX 78390

Industry:
Rehabilitation Center, Specialty Outpatient Clinic
Registration:
Dec 19, 1988
Phone:
(361) 528-3356 (Phone)
State ID:
0109803000
Business type:
Domestic For-Profit Corporation
Treasurer, Secretarys:
Eddie Underwood (Director), PO Box 68, Taft, TX 78390,Jack Anderson (Director, President), 126 Hickory Rdg, Houston, TX 77024,Max Tipton (Treasurer, Secretary)
Agent:
Edward Underwood,PO Box 68, Taft, TX 78390 (Physical)
TIN:
17425201302

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