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Organization
SEARS BRAZOS RETIREMENT CORPORATION
Active
Organization
SEARS BRAZOS RETIREMENT CORPORATION
Active
Other names
Wesley Woods Alzheimer's Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL CROSSWHTE CPA (VICE PRESIDENT/ASST. CFO)
(325) 691-5519
Entity
Organization
Contact information
Practice address
1700 WOODGATE DR, WACO, TX 76712-8600
(254) 666-5454
Mailing address
1 VILLAGE DR, SUITE 400, ABILENE, TX 79606-8231
(325) 691-5519
(325) 698-4582
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
113492
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012296
—
TX
01
—
67-6211
MEDICARE SNF
TX
Enumeration date
11/26/2005
Last updated
04/26/2010
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