Organization
SOUTHWEST LTC GULF HEALTHCARE LTD
Active
Other names
Gulf Healthcare Center Galveston
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD R PAYNE ESQ. (CEO)
(496) 916-6100
Entity
Organization
Contact information
Practice address
3702 COVE VIEW BLVD, GALVESTON, TX 77554-8013
(409) 740-7330
(409) 407-7640
Mailing address
1518 LEGACY DR, SUITE 110, FRISCO, TX 75034-6038
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005330
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5330
—
TX
Enumeration date
09/06/2005
Last updated
06/02/2015
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