Organization
AMERISA,INC.
Active
Other names
Tumbleweed
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY PUENTE (PARTNER)
(806) 438-0266
Entity
Organization
Contact information
Practice address
1101 E LAKE ST, BROWNFIELD, TX 79316-3811
(806) 637-7561
(806) 637-6230
Mailing address
1101 E LAKE ST, BROWNFIELD, TX 79316-3811
(806) 637-7561
(806) 637-6230
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
111061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015174
—
TX
Enumeration date
10/31/2005
Last updated
10/22/2008
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