Organization
SOUTHWEST LTC KELLER, LLC
Active
Other names
Heritage House of Keller Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R PAYNE (MANAGER)
(469) 916-6100
Entity
Organization
Contact information
Practice address
1150 WHITLEY RD, KELLER, TX 76248-3038
(817) 431-2518
(469) 916-6105
Mailing address
1150 WHITLEY RD, KELLER, TX 76248-3038
(817) 431-2518
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/08/2011
Last updated
11/29/2012
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