Organization
SOUTHWEST LTC--BRADY WEST, LTD.
Active
Other names
Brady West Nursing and Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD R. PAYNE ESQ. (MANAGING MEMBER)
(469) 916-6100
Entity
Organization
Contact information
Practice address
2201 MENARD HWY, BRADY, TX 76825-7432
(325) 597-2906
(325) 597-2555
Mailing address
17760 PRESTON RD, SUITE 310, DALLAS, TX 75252-5663
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004744
TX
Other
Enumeration date
12/27/2005
Last updated
08/22/2020
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