Southwest Ltc Wharton Ltd

NPI 1124070511 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1124070511
Enumeration Date 05/16/2006
Last Updated 06/02/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RONALD R. RONALD
Position MANAGING MEMBER
Phone (979) 532-1244
Fax (979) 532-1142
Practice Location
1405 VALHALLA DR
WHARTON TX, 77488-9218, US
Phone (979) 532-1244
Fax (979) 532-1142
Business Location
1518 LEGACY DR
SUITE 110
FRISCO TX, 75034-6038, US
Phone (469) 916-6100
Fax (469) 916-6105
Toxanomy
Taxonomy Code 314000000X
License State Texas
License Number 112200
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According to our database, Southwest Ltc Wharton Ltd NPI is 1124070511, taxonomy code is 314000000X and license number is 112200, license state is located at Texas. Southwest Ltc Wharton Ltd physically located at 1405 Valhalla Dr, Wharton TX, 77488-9218. NPI Number 1033115704 has the healthcare provider type.

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1124070511 NPI number is provided on an as is basis without warranty of any kind. 1124070511 is maintained by the National Plan & Provider Enumeration System. The contents of Southwest Ltc Wharton Ltd are for informational purposes only.