Organization
SHAMROCK CARE CENTER, INC.
Active
Other names
Heritage Oaks West Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY L WALKER (ADMINISTRATOR)
(903) 874-5333
Entity
Organization
Contact information
Practice address
3300 W 2ND AVE, CORSICANA, TX 75110-2412
(903) 874-5333
Mailing address
3300 W 2ND AVE, CORSICANA, TX 75110-2412
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113622
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005352
—
TX
Enumeration date
12/05/2005
Last updated
08/22/2020
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