Organization
SEAGO HEALTH CARE CENTER LTD. CO
Active
Other names
The Manor at Seagoville
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN UNDERHILL (CHIEF EXECUTIVE)
(214) 954-4114
Entity
Organization
Contact information
Practice address
2416 ELIZABETH LN, SEAGOVILLE, TX 75159-2702
(972) 287-2491
(972) 287-6693
Mailing address
2537 GOLDEN BEAR DR, DALLAS, TX 75006-2377
(214) 954-4114
(214) 871-3057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
109485
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004490
—
TX
05
—
159098601
—
TX
01
—
HH284S
BLUE CROSS
TX
Enumeration date
09/22/2005
Last updated
09/17/2008
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