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Organization
SENIOR LIVING PROPERTIES LLC
Active
Organization
SENIOR LIVING PROPERTIES LLC
Active
Other names
Van Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MARTIN (CFO)
(817) 410-7300
Entity
Organization
Contact information
Practice address
169 S OAK ST, VAN, TX 75790-3529
(903) 963-8641
(903) 963-5413
Mailing address
PO BOX 1389, GRAPEVINE, TX 76099-1389
(817) 410-7300
(817) 410-4711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
123157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000467107
—
TX
01
—
004671
FACILITY ID NO.
TX
Enumeration date
05/20/2006
Last updated
03/18/2010
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