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Organization
STONEGATE SCC LLC
Active
Organization
STONEGATE SCC LLC
Active
Other names
Stonegate Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TEMPLETON (CHIEF OPERATIONS OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
4201 STONEGATE BLVD, FT WORTH, TX 76109-9503
(817) 924-5440
Mailing address
14841 DALLAS PKWY, DALLAS, TX 75254-7685
(214) 252-7600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001027383
—
TX
01
—
005387
FACILITY/VENDOR ID
TX
Enumeration date
10/20/2015
Last updated
03/16/2022
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