# ST JOHNS EPISCOPAL RETIREMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seabury Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578554309
- **Authorized official:** MRS. COLLEEN J. SMITH (ASSISTANT ADMINISTRATOR)
- **Authorized official phone:** (432) 333-2904

## Contact information

- **Practice address:** 2443 W 16TH ST, ODESSA, TX 79763-2701
- **Practice address phone:** (432) 333-2904
- **Practice address fax:** (432) 333-6454
- **Mailing address:** 2443 W 16TH ST, ODESSA, TX 79763-2701
- **Mailing address phone:** (432) 333-2904
- **Mailing address fax:** (432) 333-6454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 110426 | TX | Yes |

## Other

- **Enumeration date:** 11/01/2005
- **Last updated:** 01/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000501202 | — | TX |