Organization
TICKNOR ENTERPRISES STEPHENVILLE, LLC
Active
Other names
Stephenville Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON EVANS (MANAGER)
(682) 305-7150
Entity
Organization
Contact information
Practice address
2311 WEST WASHINGTON STREET, STEPHENVILLE, TX 76401-3805
(254) 968-3313
(682) 305-7155
Mailing address
4150 INTERNATIONAL PLAZA, SUITE 102, FORT WORTH, TX 76109-4846
(682) 305-7150
(682) 318-1799
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004051
DADS FACILITY ID
TX
Enumeration date
08/17/2012
Last updated
12/02/2025
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