Slp Jacksonville LLC
NPI #1952354318 in Jacksonville, Texas
Provider Information
- NPI Number
- 1952354318
- Entity Type
- Organization
- Organization Name
- Slp Jacksonville LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- May 18, 2006
- Last Updated
- Jun 30, 2025
Practice Location
- Address
- 305 BONITA ST
- City
- Jacksonville
- State
- Texas
- ZIP Code
- 75766
- Phone
- (903) 586-3616
Authorized Official
- Name
- RICHARD AGNEW
- Title
- AUTHORIZED OFFICIAL
- Phone
- (512) 565-6159
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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