Senior Village

NPI 1184612012 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1184612012
Enumeration Date 10/13/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARSHA L MARSHA
Position ASSISTANT ADMIN
Phone (806) 435-5403
Fax
Practice Location
3101 S MAIN ST
PERRYTON TX, 79070-5345, US
Phone (806) 435-5403
Fax
Business Location
3101 S MAIN ST
PERRYTON TX, 79070-5345, US
Phone (806) 435-5403
Fax
Toxanomy
Taxonomy Code 314000000X
License State Texas
License Number 4463
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According to our database, Senior Village NPI is 1184612012, taxonomy code is 314000000X and license number is 4463, license state is located at Texas. Senior Village physically located at 3101 S Main St, Perryton TX, 79070-5345. NPI Number 1033115704 has the healthcare provider type.

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1184612012 NPI number is provided on an as is basis without warranty of any kind. 1184612012 is maintained by the National Plan & Provider Enumeration System. The contents of Senior Village are for informational purposes only.