Organization
ST JOHNS EPISCOPAL RETIREMENT CORPORATION
Active
Other names
Seabury Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN J. SMITH (ASSISTANT ADMINISTRATOR)
(432) 333-2904
Entity
Organization
Contact information
Practice address
2443 W 16TH ST, ODESSA, TX 79763-2701
(432) 333-2904
(432) 333-6454
Mailing address
2443 W 16TH ST, ODESSA, TX 79763-2701
(432) 333-2904
(432) 333-6454
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
110426
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000501202
—
TX
Enumeration date
11/01/2005
Last updated
01/20/2017
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