Organization
SENIOR LIVING PROPERTIES LLC
Active
Other names
Claystone Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROGERS (COO)
(817) 410-7300
Entity
Organization
Contact information
Practice address
1107 S CLAY ST, ENNIS, TX 75119-6414
(972) 875-8411
(972) 875-3626
Mailing address
PO BOX 1389, GRAPEVINE, TX 76099-1389
(817) 410-7300
(817) 810-7411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
122529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005027
FACILITY ID NO.
TX
Enumeration date
05/25/2006
Last updated
02/06/2008
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