Organization
EAST TEXAS LTC THE WATERTON AT SHILOH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA POWER (CFO)
(903) 792-0838
Entity
Organization
Contact information
Practice address
2875 SHILOH RD, TYLER, TX 75703-2936
(903) 561-1300
Mailing address
2875 SHILOH RD, TYLER, TX 75703-2936
(903) 561-1300
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
06/20/2018
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