Organization
RESORT LODGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE KEARBY (OWNER)
(940) 325-3744
Entity
Organization
Contact information
Practice address
401 NW 4TH ST, MINERAL WELLS, TX 76067-4814
(940) 325-3744
(940) 328-1463
Mailing address
401 NW 4TH ST, MINERAL WELLS, TX 76067-4814
(940) 325-3744
(940) 328-1463
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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