Healthcare Provider Details

I. General information

NPI: 1952306235
Provider Name (Legal Business Name): SILSBEE OAKS HEALTH CARE L L P
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 E AVENUE L
SILSBEE TX
77656-5014
US

IV. Provider business mailing address

7150 GANTT ACCESS
AZLE TX
76020-5638
US

V. Phone/Fax

Practice location:
  • Phone: 409-385-3285
  • Fax:
Mailing address:
  • Phone: 817-444-2516
  • Fax:

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: MAURA PANOS
Title or Position: ACCOUNTANT
Credential:
Phone: 817-444-2516