# SENIOR LIVING PROPERTIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Inn Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578515201
- **Authorized official:** WILLIAM KEYS (CFO)
- **Authorized official phone:** (817) 410-7300

## Contact information

- **Practice address:** 1085 E MAIN ST, VAN, TX 75790-2949
- **Practice address phone:** (903) 963-8646
- **Practice address fax:** (903) 963-5031
- **Mailing address:** PO BOX 1389, GRAPEVINE, TX 76099-1389
- **Mailing address phone:** (817) 410-7300
- **Mailing address fax:** (817) 810-7411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 116017 | TX | Yes |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 07/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004299 | FACILITY ID NO. | TX |