Organization
CSH WICHITA FALLS LP
Active
Other names
Merrill Gardens at Wichita Falls
Organization subpart
No
Provider details
NPI number
Authorized official
JON A. DELUCA (CFO)
(813) 287-3992
Entity
Organization
Contact information
Practice address
5102 W LAUREL ST STE 700, TAMPA, FL 33607-3854
(813) 287-3992
Mailing address
5100 KELL BLVD, WICHITA FALLS, TX 76310-1746
(940) 691-8181
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
08/22/2020
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