Kristi Lee Manor INC
NPI #1558472951 in Colorado City, Texas
Provider Information
- NPI Number
- 1558472951
- Entity Type
- Organization
- Organization Name
- Kristi Lee Manor INC
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Apr 12, 2010
Practice Location
- Address
- 1941 CHESTNUT ST
- City
- Colorado City
- State
- Texas
- ZIP Code
- 79512-3099
- Phone
- (325) 728-5247
Authorized Official
- Name
- MR. CLARK MOODY
- Title
- ADMINISTRATOR OWNER
- Phone
- (325) 728-5247
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
| Nursing Facility/Intermediate Care Facility |
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