Southwest Ltc Gulf Healthcare Ltd

NPI #1023002102 in Port Arthur, Texas

Provider Information

NPI Number
1023002102
Entity Type
Organization
Organization Name
Southwest Ltc Gulf Healthcare Ltd
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Sep 6, 2005
Last Updated
Jun 2, 2015

Practice Location

Address
6600 9TH AVE
State
Texas
ZIP Code
77642-6411
Phone
(469) 916-6100

Authorized Official

Name
RONALD R PAYNE, ESQ.
Title
CEO
Phone
(469) 916-6100

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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