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Organization
SOUTHWEST LTC PARK MANOR II LTD
Active
Organization
SOUTHWEST LTC PARK MANOR II LTD
Active
Other names
DBA PARK MANOR HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMMY GORE (ADMINISTRATOR)
(972) 230-1000
Entity
Organization
Contact information
Practice address
207 E PARKERVILLE RD, DESOTO, TX 75115-6251
(972) 230-1000
(972) 230-5509
Mailing address
207 E PARKERVILLE RD, DESOTO, TX 75115-6251
(972) 230-1000
(972) 230-5509
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005257
TX
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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