Organization
WEST PLACE SNF, LP
Active
Other names
West Place Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA PIERCE (AUTHORIZED OFFICER)
(972) 899-4401
Entity
Organization
Contact information
Practice address
8579 STATE HWY 31 WEST, ATHENS, TX 75751
(903) 677-5929
(903) 677-1909
Mailing address
1500 WATERS RIDGE DR, SUITE 200, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110535
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003368
—
TX
01
—
148995701
MEDICAID CO B
TX
Enumeration date
09/08/2005
Last updated
07/24/2014
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