Organization
WINDSOR HEALTH CARE II CORP
Active
Other names
Briarcliff Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHANA SHELTON (CFO)
(940) 464-7018
Entity
Organization
Contact information
Practice address
3403 S VINE AVE, TYLER, TX 75701-8539
(903) 581-5714
(903) 561-7405
Mailing address
3403 S VINE AVE, TYLER, TX 75701-8539
(903) 581-5714
(903) 561-7405
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
109179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5229
—
TX
Enumeration date
07/08/2005
Last updated
06/20/2013
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