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NPI Code Detail

MEDICARE: BELTLINE SCC LLC

MEDICARE: BELTLINE SCC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility127290TX
2314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417192170
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELTLINE SCC LLC
Provider Business Mailing Address
First Line : 106 BELT LINE RD
Second Line :
City : GARLAND
State : TX
Zip : 75040-4104
Country : US
Telephone Number : 972-495-7700
Fax Number : 972-495-0863
Provider Business Practice Location Address
First Line : 106 BELT LINE RD
Second Line :
City : GARLAND
State : TX
Zip : 75040-4104
Country : US
Telephone Number : 972-495-7700
Fax Number : 972-495-0863
Authorized Official
Title or Position : SENIOR VICE PRESIDENT
Name : JASON PRICE
Credential :
Telephone Number : 949-436-4343
Provider Enumeration Date : 12/10/2008
Last Update Date : 09/04/2020

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Directions to “BELTLINE SCC LLC ” Practice Location

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