# SLP JACKSONVILLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacksonville Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952354318
- **Authorized official:** RICHARD AGNEW (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (512) 565-6159

## Contact information

- **Practice address:** 305 BONITA ST, JACKSONVILLE, TX 75766
- **Practice address phone:** (903) 586-3616
- **Practice address fax:** (903) 586-7497
- **Mailing address:** 305 BONITA ST, JACKSONVILLE, TX 75766-5743

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 06/30/2025