# SOUTHWEST LTC - QUAIL CREEK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage at Brandon Place, Quail Creek Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447631494
- **Authorized official:** RONALD R PAYNE (CEO)
- **Authorized official phone:** (469) 916-6100

## Contact information

- **Practice address:** 13500 BRANDON PL, OKLAHOMA CITY, OK 73142-4312
- **Practice address phone:** (405) 720-0010
- **Practice address fax:** (405) 720-1397
- **Mailing address:** 5560 TENNYSON PKWY STE 210, PLANO, TX 75024-3582
- **Mailing address phone:** (469) 916-6100
- **Mailing address fax:** (469) 916-6105

## Taxonomy

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

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 02/17/2022