Organization
COLORADO FAYETTE MEDICAL CENTER
Active
Other names
Parkview Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN CHARIES CROW LNFA # 6484 - TEXAS (ADMINISTRATOR)
(979) 725-8564
Entity
Organization
Contact information
Practice address
206 N SMITH ST, WEIMAR, TX 78962-1814
(979) 725-8564
(979) 725-6673
Mailing address
206 N SMITH ST, WEIMAR, TX 78962-1814
(979) 725-8564
(979) 725-6673
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
108981
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000474702
—
TX
Enumeration date
09/13/2005
Last updated
07/19/2010
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