Organization
SOUTH LIMESTONE HOSPITAL DISTRICT
Active
Other names
Chandler Nursing Center, SBS Leaseco Chandler LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY PRICE (CHIEF EXECUTIVE OFFICER)
(254) 729-3281
Entity
Organization
Contact information
Practice address
300 CHERRY ST, CHANDLER, TX 75758-9636
(903) 849-2485
Mailing address
701 MCCLINTIC DR, GROESBECK, TX 76642-2128
(254) 729-3281
(254) 729-2689
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
139673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001025840
MEDICARE PROVIDER NUMBER
—
01
—
45-5910
MEDICARE
—
05
—
5223
—
TX
Enumeration date
03/28/2014
Last updated
11/15/2019
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