Healthcare Provider Details

I. General information

NPI: 1518436997
Provider Name (Legal Business Name): BKD STERLING HOUSE OF PALESTINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2018
Last Update Date: 11/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 TRINITY CT
PALESTINE TX
75801-6978
US

IV. Provider business mailing address

101 TRINITY CT
PALESTINE TX
75801-6978
US

V. Phone/Fax

Practice location:
  • Phone: 903-729-1900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: JOANNE LESKOWICZ
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 414-918-5000