Southwest Ltc - Corsicana LLC

NPI #1649735036 in Corsicana, Texas

Provider Information

NPI Number
1649735036
Entity Type
Organization
Organization Name
Southwest Ltc - Corsicana LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Feb 10, 2019
Last Updated
Dec 28, 2020

Practice Location

Address
3002 W 2ND AVE
State
Texas
ZIP Code
75110-2492
Phone
(903) 872-5130

Authorized Official

Name
RONALD PAYNE
Title
AUTHORIZED OFFICER
Phone
(469) 916-6100

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility
Skilled Nursing Facility

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