Southwest Ltc Keller, LLC

NPI #1376837138 in Keller, Texas

Provider Information

NPI Number
1376837138
Entity Type
Organization
Organization Name
Southwest Ltc Keller, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 8, 2011
Last Updated
Nov 29, 2012

Practice Location

Address
1150 WHITLEY RD
City
Keller
State
Texas
ZIP Code
76248-3038
Phone
(817) 431-2518

Authorized Official

Name
RONALD R PAYNE
Title
MANAGER
Phone
(469) 916-6100

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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