Organization
SLP JACKSONVILLE LLC
Active
Other names
Jacksonville Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD AGNEW (AUTHORIZED OFFICIAL)
(512) 565-6159
Entity
Organization
Contact information
Practice address
305 BONITA ST, JACKSONVILLE, TX 75766
(903) 586-3616
(903) 586-7497
Mailing address
305 BONITA ST, JACKSONVILLE, TX 75766-5743
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
05/18/2006
Last updated
06/30/2025
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