Organization
SOUTHWEST LTC - CORSICANA LLC
Active
Other names
The Village at Heritage Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD PAYNE (AUTHORIZED OFFICER)
(469) 916-6100
Entity
Organization
Contact information
Practice address
3002 W 2ND AVE, CORSICANA, TX 75110-2492
(903) 872-5130
Mailing address
5560 TENNYSON PKWY STE 210, PLANO, TX 75024-3582
(469) 916-6100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/10/2019
Last updated
12/28/2020
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