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Organization
TICKNOR ENTERPRISES STEPHENVILLE, LLC
Active
Organization
TICKNOR ENTERPRISES STEPHENVILLE, LLC
Active
Other names
Stephenville Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON EVANS (MANAGER)
(682) 305-7150
Entity
Organization
Contact information
Practice address
2311 WEST WASHINGTON STREET, STEPHENVILLE, TX 76401-3805
(254) 968-3313
(682) 305-7155
Mailing address
4150 INTERNATIONAL PLAZA, SUITE 102, FORT WORTH, TX 76109-4846
(682) 305-7150
(682) 318-1799
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004051
DADS FACILITY ID
TX
Enumeration date
08/17/2012
Last updated
12/02/2025
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