Southwest Ltc - Corpus, LLC

NPI #1437557832 in Corpus Christi, Texas

Provider Information

NPI Number
1437557832
Entity Type
Organization
Organization Name
Southwest Ltc - Corpus, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Dec 17, 2014
Last Updated
Jun 2, 2015

Practice Location

Address
1314 3RD ST
State
Texas
ZIP Code
78404-2208
Phone
(469) 916-6100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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