Healthcare Provider Details

I. General information

NPI: 1962710079
Provider Name (Legal Business Name): SWEET NECHES PROPERTIES, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2010
Last Update Date: 10/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

144 BULLDOG AVE
JASPER TX
75951-4949
US

IV. Provider business mailing address

220 E ASH ST
HUNTINGTON TX
75949-8648
US

V. Phone/Fax

Practice location:
  • Phone: 936-212-2621
  • Fax:
Mailing address:
  • Phone: 936-876-2273
  • Fax: 936-876-2286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL L DAVIS
Title or Position: MANAGER OF GENERAL PARTNER
Credential:
Phone: 936-212-2621