Organization
WYLIE SENIOR CARE
Active
Other names
Wylie Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAVEEN THOTA (CFO)
(972) 235-1970
Entity
Organization
Contact information
Practice address
721 SOUTH HWY 78, WYLIE, TX 75098
(972) 235-1970
Mailing address
4504 WINTER PARK DR, RICHARDSON, TX 75082
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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