Organization
AMERISA INC
Active
Other names
Amerisa Court
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER MARIE HUERTA (DIRECTOR)
(806) 535-8630
Entity
Organization
Contact information
Practice address
315 MUSTANG DR, DENVER CITY, TX 79323-3036
(806) 592-2127
Mailing address
315 MUSTANG DR, DENVER CITY, TX 79323-3036
(806) 592-2127
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
67-2080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125108
—
TX
Enumeration date
04/08/2009
Last updated
11/05/2009
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