# SEARS BRAZOS RETIREMENT CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wesley Woods Alzheimer's Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649253303
- **Authorized official:** MR. RANDALL CROSSWHTE CPA (VICE PRESIDENT/ASST. CFO)
- **Authorized official phone:** (325) 691-5519

## Contact information

- **Practice address:** 1700 WOODGATE DR, WACO, TX 76712-8600
- **Practice address phone:** (254) 666-5454
- **Mailing address:** 1 VILLAGE DR, SUITE 400, ABILENE, TX 79606-8231
- **Mailing address phone:** (325) 691-5519
- **Mailing address fax:** (325) 698-4582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 113492 | TX | Yes |

## Other

- **Enumeration date:** 11/26/2005
- **Last updated:** 04/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001012296 | — | TX |
| 01 | — | 67-6211 | MEDICARE SNF | TX |