Southwest Ltc Kilgore Ltd

NPI #1619287273 in Kilgore, Texas

Provider Information

NPI Number
1619287273
Entity Type
Organization
Organization Name
Southwest Ltc Kilgore Ltd
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 18, 2010
Last Updated
Nov 8, 2010

Practice Location

Address
1901 WHIPPORWILL LN
State
Texas
ZIP Code
75662-3880
Phone
(903) 983-7775

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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