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Organization
SOUTHWEST LTC LAMAR LTD
Active
Organization
SOUTHWEST LTC LAMAR LTD
Active
Other names
Deport Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R. PAYNE (CEO)
(469) 916-6100
Entity
Organization
Contact information
Practice address
126 US HIGHWAY 271 SOUTH, DEPORT, TX 75435-2534
(903) 652-4410
(903) 652-4618
Mailing address
17760 PRESTON RD, SUITE 310, DALLAS, TX 75252-5663
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
APPLIED
TX
Other
Enumeration date
11/30/2007
Last updated
02/28/2008
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