Organization
SENIOR LIVING PROPERTIES LLC
Active
Other names
Country Inn Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KEYS (CFO)
(817) 410-7300
Entity
Organization
Contact information
Practice address
1085 E MAIN ST, VAN, TX 75790-2949
(903) 963-8646
(903) 963-5031
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
116017
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004299
FACILITY ID NO.
TX
Enumeration date
05/17/2006
Last updated
07/24/2007
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