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Organization

SEARS CAPROCK RETIREMENT CORPORATION

Active
Other names
Mesa Springs Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY S. JOHNSON CPA (SENIOR VICE PRESIDENT/CFO)
(325) 691-5519
Entity
Organization

Contact information

Practice address
7171 BUFFALO GAP, ABILENE, TX 79606-5450
(325) 691-5519
(325) 698-4582
Mailing address
1 VILLAGE DR, SUITE 400, ABILENE, TX 79606-8231
(325) 691-5519
(325) 698-4582

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001015958
TX
Enumeration date
01/22/2008
Last updated
08/01/2008
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