Southwest Ltc Crockett Ii, Ltd.

NPI #1326111659 in Crockett, Texas

Provider Information

NPI Number
1326111659
Entity Type
Organization
Organization Name
Southwest Ltc Crockett Ii, Ltd.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 16, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1108 EAST LOOP 304
State
Texas
ZIP Code
75835-1810
Phone
(936) 544-0150

Authorized Official

Name
RONALD R. PAYNE
Title
MANAGING MEMBER
Phone
(469) 916-6100

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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