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Organization
SOUTHWEST LTC--GRANBURY, LTD.
Active
Organization
SOUTHWEST LTC--GRANBURY, LTD.
Active
Other names
Granberry Villa Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R PAYNE ESQ. (CEO)
(469) 916-6100
Entity
Organization
Contact information
Practice address
2124 PALUXY HWY, GRANBURY, TX 76048-5530
(817) 279-7600
(817) 279-7602
Mailing address
17760 PRESTON RD, SUITE 310, DALLAS, TX 75252-5663
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113575
TX
Other
Enumeration date
09/08/2005
Last updated
08/22/2020
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