Organization
FAMILY OF PARK PLAZA, L.L.C.
Active
Other names
Park Plaza Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA DIANE WARD (PRESIDENT/MANAGING MEMBER)
(254) 694-3555
Entity
Organization
Contact information
Practice address
1244 STATE PARK ROAD, WHITNEY, TX 76692-4313
(254) 694-2239
Mailing address
PO BOX 2105, WHITNEY, TX 76692-5105
(254) 694-3555
(254) 694-4253
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004587
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016006
—
TX
05
—
021884401
—
TX
Enumeration date
04/01/2008
Last updated
01/19/2009
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