Organization
MERIDIAN MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY STUART (ADMINISTRATOR)
(254) 435-2357
Entity
Organization
Contact information
Practice address
1015 N MAIN, MERIDIAN, TX 76665-4632
(254) 435-2357
(254) 435-6172
Mailing address
1015 N MAIN, MERIDIAN, TX 76665-4632
(254) 435-2357
(254) 435-6172
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
116523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4434
—
TX
Enumeration date
03/05/2007
Last updated
08/22/2020
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