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Organization

CENTURY FORT STOCKTON GEAC LLC

Active
Other names
Fort Stockton Nursing Center
Organization subpart
No

Provider details

NPI number
Authorized official
CHANA SHELTON (CFO)
(940) 464-7018
Entity
Organization

Contact information

Practice address
501 N SYCAMORE ST, FORT STOCKTON, TX 79735-4602
(432) 336-7631
(432) 336-8870
Mailing address
501 N SYCAMORE ST, FORT STOCKTON, TX 79735-4602
(432) 336-7631
(432) 336-8870

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
112531
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005310
TX
Enumeration date
03/26/2007
Last updated
06/19/2013
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