# TEXADA, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wisteria Place Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528296662
- **Authorized official:** DR. CARROLL BRUCE DAVIS PHD (PRESIDENT)
- **Authorized official phone:** (325) 692-6145

## Contact information

- **Practice address:** 3202 S WILLIS ST, ABILENE, TX 79605-6650
- **Practice address phone:** (325) 692-6145
- **Practice address fax:** (325) 692-6145
- **Mailing address:** 3202 S WILLIS ST, ABILENE, TX 79605-6650
- **Mailing address phone:** (325) 692-6145
- **Mailing address fax:** (325) 695-2629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 127499 | TX | Yes |

## Other

- **Enumeration date:** 06/28/2009
- **Last updated:** 09/04/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001017200 | — | TX |