# FAMILY OF PARK PLAZA, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Plaza Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922270859
- **Authorized official:** MRS. PATRICIA DIANE WARD (PRESIDENT/MANAGING MEMBER)
- **Authorized official phone:** (254) 694-3555

## Contact information

- **Practice address:** 1244 STATE PARK ROAD, WHITNEY, TX 76692-4313
- **Practice address phone:** (254) 694-2239
- **Mailing address:** PO BOX 2105, WHITNEY, TX 76692-5105
- **Mailing address phone:** (254) 694-3555
- **Mailing address fax:** (254) 694-4253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 004587 | TX | Yes |

## Other

- **Enumeration date:** 04/01/2008
- **Last updated:** 01/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001016006 | — | TX |
| 05 | — | 021884401 | — | TX |