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Organization

SEARS BRAZOS RETIREMENT CORPORATION

Active
Other names
Wesley Woods Alzheimer's Care Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDALL CROSSWHTE CPA (VICE PRESIDENT/ASST. CFO)
(325) 691-5519
Entity
Organization

Contact information

Practice address
1700 WOODGATE DR, WACO, TX 76712-8600
(254) 666-5454
Mailing address
1 VILLAGE DR, SUITE 400, ABILENE, TX 79606-8231
(325) 691-5519
(325) 698-4582

Taxonomy

Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
113492
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001012296
TX
01
67-6211
MEDICARE SNF
TX
Enumeration date
11/26/2005
Last updated
04/26/2010
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