Southwest Ltc Crockett I, Ltd.

NPI #1487726329 in Crockett, Texas

Provider Information

NPI Number
1487726329
Entity Type
Organization
Organization Name
Southwest Ltc Crockett I, Ltd.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 15, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1116 EAST LOOP 304
State
Texas
ZIP Code
75835-1810
Phone
(469) 916-6100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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