Southwest Ltc Park Manor II Ltd
NPI #1225196405 in Desoto, Texas
Provider Information
- NPI Number
- 1225196405
- Entity Type
- Organization
- Organization Name
- Southwest Ltc Park Manor II Ltd
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. SAMMY GORE
- Title
- ADMINISTRATOR
- Phone
- (972) 230-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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