Organization
SEARS PERMIAN RETIREMENT CORPORATION
Active
Other names
Parks Methodist Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL CROSSWHITE CPA (VICE PRESIDENT/ASST. CFO)
(325) 691-5519
Entity
Organization
Contact information
Practice address
111 PARKS VILLAGE DR, ODESSA, TX 79765-8905
(432) 563-5707
Mailing address
1 VILLAGE DR, SUITE 400, ABILENE, TX 79606-8231
(325) 691-5519
(325) 698-4582
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
114055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000522102
—
TX
Enumeration date
11/26/2005
Last updated
01/24/2011
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