# PARK PLAZA NURSING CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013910587
- **Authorized official:** MR. GREG LOUDERMILK (PRESIDENT ADMINISTRATOR)
- **Authorized official phone:** (325) 944-0561

## Contact information

- **Practice address:** 2210 HOWARD ST, SAN ANGELO, TX 76901-1318
- **Practice address phone:** (325) 944-0561
- **Practice address fax:** (325) 944-0562
- **Mailing address:** 2210 HOWARD ST, SAN ANGELO, TX 76901-1318
- **Mailing address phone:** (325) 944-0561
- **Mailing address fax:** (325) 944-0562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 110002 | TX | — |
| 314000000X | Skilled Nursing Facility | 110002 | TX | Yes |

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 09/11/2025