Organization
SOUTHWEST LTC - QUAIL CREEK, LLC
Active
Other names
Heritage at Brandon Place, Quail Creek Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R PAYNE (CEO)
(469) 916-6100
Entity
Organization
Contact information
Practice address
13500 BRANDON PL, OKLAHOMA CITY, OK 73142-4312
(405) 720-0010
(405) 720-1397
Mailing address
5560 TENNYSON PKWY STE 210, PLANO, TX 75024-3582
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/16/2015
Last updated
02/17/2022
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