Organization
SENIOR LIVING PROPERTIES LLC
Active
Other names
Palacios Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MARTIN (CFO)
(817) 410-7300
Entity
Organization
Contact information
Practice address
1414 4TH ST, PALACIOS, TX 77465-3202
(361) 972-2542
(361) 972-3468
Mailing address
PO BOX 1389, GRAPEVINE, TX 76099-1389
(817) 410-7300
(817) 810-7411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
122741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000498106
—
TX
01
—
004981
FACILITY ID NO.
TX
Enumeration date
07/12/2006
Last updated
07/07/2008
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