Organization
TOWN HALL ESTATES-KEENE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JASON FAUTHEREE (ADMINISTRATOR)
(817) 645-8888
Entity
Organization
Contact information
Practice address
207 S OLD BETSY RD, KEENE, TX 76059-2426
(817) 645-8888
(817) 645-4984
Mailing address
PO BOX 588, KEENE, TX 76059-0588
(817) 645-8888
(817) 645-4984
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
116903
TX
314000000X
Skilled Nursing Facility
Primary
116903
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000440202
—
TX
Enumeration date
04/02/2007
Last updated
04/06/2015
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