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Organization
CENTURY FORT STOCKTON GEAC LLC
Active
Organization
CENTURY FORT STOCKTON GEAC LLC
Active
Other names
Fort Stockton Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHANA SHELTON (CFO)
(940) 464-7018
Entity
Organization
Contact information
Practice address
501 N SYCAMORE ST, FORT STOCKTON, TX 79735-4602
(432) 336-7631
(432) 336-8870
Mailing address
501 N SYCAMORE ST, FORT STOCKTON, TX 79735-4602
(432) 336-7631
(432) 336-8870
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
112531
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005310
—
TX
Enumeration date
03/26/2007
Last updated
06/19/2013
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