Organization
WICHITA FALLS RETIREMENT FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA CONYEA (ADMINISTRATOR/EXECUTIVE DIRECTOR)
(940) 691-7511
Entity
Organization
Contact information
Practice address
3006 MCNIEL AVE, WICHITA FALLS, TX 76309-4954
(940) 691-7511
(940) 696-5154
Mailing address
3006 MCNIEL AVE, WICHITA FALLS, TX 76309-4954
(940) 691-7511
(940) 696-5154
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
109476
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016429
—
TX
Enumeration date
11/02/2005
Last updated
02/27/2009
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