# WESTWARD TRAILS OPERATOR LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Westward Trails Health and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770630626
- **Authorized official:** SHERYL SMITH (ADMINISTRATOR)
- **Authorized official phone:** (936) 569-2631

## Contact information

- **Practice address:** 3001 WESTWARD DR, NACOGDOCHES, TX 75964-1232
- **Practice address phone:** (936) 569-2631
- **Practice address fax:** (936) 569-0590
- **Mailing address:** 3001 WESTWARD DR, NACOGDOCHES, TX 75964-1232
- **Mailing address phone:** (936) 569-2631
- **Mailing address fax:** (936) 569-0590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 133763 | TX | Yes |

## Other

- **Enumeration date:** 01/04/2007
- **Last updated:** 03/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001014556 | — | TX |
| 01 | — | 005305 | FACILITY ID | TX |