# STALLINGS COURT SCC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stallings Court Nursing & Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629356415
- **Authorized official:** MICHAEL TEMPLETON (CHIEF OPERATIONS OFFICER)
- **Authorized official phone:** (214) 252-7600

## Contact information

- **Practice address:** 4616 NE STALLINGS DR, NACOGDOCHES, TX 75965-1608
- **Practice address phone:** (936) 569-5600
- **Practice address fax:** (936) 569-5650
- **Mailing address:** 14841 DALLAS PKWY, DALLAS, TX 75254-7685
- **Mailing address phone:** (214) 252-7600
- **Mailing address fax:** (214) 252-7704

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2011
- **Last updated:** 03/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001019884 | — | TX |