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Organization
SSC HOUSTON NORTHWEST OPERATING COMPANY LLC
Active
Organization
SSC HOUSTON NORTHWEST OPERATING COMPANY LLC
Active
Other names
Northwest Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
17600 CALI DR, HOUSTON, TX 77090-2703
(281) 440-9000
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
116324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000513704
PREVIOUS MEDICAID NUMBER
—
05
—
001013873
—
TX
Enumeration date
04/03/2007
Last updated
11/16/2020
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