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Organization
SEARS PERMIAN RETIREMENT CORPORATION
Active
Organization
SEARS PERMIAN RETIREMENT CORPORATION
Active
Other names
Parks Methodist Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL CROSSWHITE CPA (VICE PRESIDENT/ASST. CFO)
(325) 691-5519
Entity
Organization
Contact information
Practice address
111 PARKS VILLAGE DR, ODESSA, TX 79765-8905
(432) 563-5707
Mailing address
1 VILLAGE DR, SUITE 400, ABILENE, TX 79606-8231
(325) 691-5519
(325) 698-4582
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
114055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000522102
—
TX
Enumeration date
11/26/2005
Last updated
01/24/2011
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