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Organization
SCC PARTNERS INC
Active
Organization
SCC PARTNERS INC
Active
Other names
Senior Care Health and Rehabilitation - Bridgeport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE DELBERT LEWIS (VP/CFO)
(972) 303-7500
Entity
Organization
Contact information
Practice address
2108 15TH ST, BRIDGEPORT, TX 76426
(940) 683-5023
(940) 683-3184
Mailing address
1413 E I30, SUITE 7, GARLAND, TX 75043
(972) 303-7515
(972) 303-9992
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
—
TX
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001017174
—
TX
01
—
005260
FACILITY ID
TX
Enumeration date
06/10/2009
Last updated
06/30/2010
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