Organization
SCC PARTNERS, INC.
Active
Parent organization
SCC HEALTHCARE GROUP, LTD.
Other names
Broadmoor Medical Lodge
Organization subpart
Yes
Provider details
NPI number
Legal business name
SCC HEALTHCARE GROUP, LTD.
Authorized official
RENEE CRABB (EXECUTIVE ASSISTANT)
(972) 303-7500
Entity
Organization
Contact information
Practice address
5242 MEDICAL DR, ROCKWALL, TX 75032-5001
(972) 772-8700
(972) 772-8701
Mailing address
1413 E I 30, SUITE 7, GARLAND, TX 75043-4784
(972) 303-9000
(972) 303-9700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001021016
—
TX
Enumeration date
11/19/2012
Last updated
11/21/2014
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