Organization
SOUTHWEST LTC LAMAR LTD
Active
Other names
Deport Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R. PAYNE (CEO)
(469) 916-6100
Entity
Organization
Contact information
Practice address
126 US HIGHWAY 271 SOUTH, DEPORT, TX 75435-2534
(903) 652-4410
(903) 652-4618
Mailing address
17760 PRESTON RD, SUITE 310, DALLAS, TX 75252-5663
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
APPLIED
TX
Other
Enumeration date
11/30/2007
Last updated
02/28/2008
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