# CENTURY FORT STOCKTON GEAC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort Stockton Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295853844
- **Authorized official:** CHANA SHELTON (CFO)
- **Authorized official phone:** (940) 464-7018

## Contact information

- **Practice address:** 501 N SYCAMORE ST, FORT STOCKTON, TX 79735-4602
- **Practice address phone:** (432) 336-7631
- **Practice address fax:** (432) 336-8870
- **Mailing address:** 501 N SYCAMORE ST, FORT STOCKTON, TX 79735-4602
- **Mailing address phone:** (432) 336-7631
- **Mailing address fax:** (432) 336-8870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 112531 | TX | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 06/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005310 | — | TX |