Organization
WESTWARD TRAILS OPERATOR LLC
Active
Other names
Westward Trails Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL SMITH (ADMINISTRATOR)
(936) 569-2631
Entity
Organization
Contact information
Practice address
3001 WESTWARD DR, NACOGDOCHES, TX 75964-1232
(936) 569-2631
(936) 569-0590
Mailing address
3001 WESTWARD DR, NACOGDOCHES, TX 75964-1232
(936) 569-2631
(936) 569-0590
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
133763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014556
—
TX
01
—
005305
FACILITY ID
TX
Enumeration date
01/04/2007
Last updated
03/26/2012
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