Organization
SOUTHWEST LTC PARK MANOR II LTD
Active
Other names
DBA PARK MANOR HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMMY GORE (ADMINISTRATOR)
(972) 230-1000
Entity
Organization
Contact information
Practice address
207 E PARKERVILLE RD, DESOTO, TX 75115-6251
(972) 230-1000
(972) 230-5509
Mailing address
207 E PARKERVILLE RD, DESOTO, TX 75115-6251
(972) 230-1000
(972) 230-5509
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005257
TX
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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