Organization
MESA SPRINGS RETIREMENT VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN KIMMEL (CFO)
(325) 670-2182
Entity
Organization
Contact information
Practice address
7171 BUFFALO GAP RD, ABILENE, TX 79606-5450
(325) 670-2182
(325) 692-6228
Mailing address
7171 BUFFALO GAP RD, ABILENE, TX 79606-5450
(325) 670-2182
(325) 692-6228
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
117944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000537801
—
TX
Enumeration date
02/22/2007
Last updated
07/22/2008
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