# WACO SN OPCO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alpha Skilled Nursing & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295238368
- **Authorized official:** JOSEF NEUMAN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (214) 396-3462

## Contact information

- **Practice address:** 7501 BAGBY, WACO, TX 76712
- **Practice address phone:** (254) 666-8003
- **Mailing address:** 111 CLIFTON AVE, LAKEWOOD, NJ 08701-3342
- **Mailing address phone:** (214) 396-3462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | TX | Yes |

## Other

- **Enumeration date:** 03/14/2018
- **Last updated:** 03/14/2018
