# S.U.R. LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Abilene Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659514867
- **Authorized official:** MONTE RANDALL (VP OF OPERATIONS)
- **Authorized official phone:** (940) 374-3804

## Contact information

- **Practice address:** 2630 OLD ANSON RD, ABILENE, TX 79603-2210
- **Practice address phone:** (325) 673-5101
- **Practice address fax:** (325) 673-0568
- **Mailing address:** 9450 FM 2210 E, POOLVILLE, TX 76487-5028
- **Mailing address phone:** (940) 374-3804
- **Mailing address fax:** (940) 374-3069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 127476 | TX | Yes |

## Other

- **Enumeration date:** 04/17/2009
- **Last updated:** 01/12/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001017082 | — | TX |
| 01 | — | 004892 | FACILITY ID | TX |