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Organization
SEARS CAPROCK RETIREMENT CORPORATION
Active
Organization
SEARS CAPROCK RETIREMENT CORPORATION
Active
Other names
Mesa Springs Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY S. JOHNSON CPA (SENIOR VICE PRESIDENT/CFO)
(325) 691-5519
Entity
Organization
Contact information
Practice address
7171 BUFFALO GAP, ABILENE, TX 79606-5450
(325) 691-5519
(325) 698-4582
Mailing address
1 VILLAGE DR, SUITE 400, ABILENE, TX 79606-8231
(325) 691-5519
(325) 698-4582
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015958
—
TX
Enumeration date
01/22/2008
Last updated
08/01/2008
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