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Organization

SLP HAMLIN LLC

Active
Other names
Homeplace Manor
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA LEONARD (PRESIDENT/COO)
(817) 410-7300
Entity
Organization

Contact information

Practice address
425 SW AVENUE F, HAMLIN, TX 79520-4615
(325) 576-3643
(325) 576-3913
Mailing address
1300 S. UNIVERSITY DR., SUITE 306, FORT WORTH, TX 76107
(817) 410-7300
(817) 423-6270

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004399
FACILITY ID NO.
TX
Enumeration date
05/16/2006
Last updated
08/25/2017
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