Organization
PARK PLAZA NURSING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG LOUDERMILK (PRESIDENT ADMINISTRATOR)
(325) 944-0561
Entity
Organization
Contact information
Practice address
2210 HOWARD ST, SAN ANGELO, TX 76901-1318
(325) 944-0561
(325) 944-0562
Mailing address
2210 HOWARD ST, SAN ANGELO, TX 76901-1318
(325) 944-0561
(325) 944-0562
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
110002
TX
314000000X
Skilled Nursing Facility
Primary
110002
TX
Other
Enumeration date
05/27/2005
Last updated
09/11/2025
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