Organization
MEADOW CREEK SCC LLC
Active
Other names
Senior Care of Meadow Creek
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
4343 OAK GROVE BLVD., SAN ANGELO, TX 76904-4500
(325) 949-2559
(325) 949-3598
Mailing address
600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
(214) 252-7600
(214) 252-7704
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025585
—
TX
Enumeration date
10/18/2013
Last updated
03/04/2020
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