Healthcare Provider Details

I. General information

NPI: 1164406971
Provider Name (Legal Business Name): VECTOR CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 S 19TH ST
SLATON TX
79364-4714
US

IV. Provider business mailing address

630 S 19TH ST
SLATON TX
79364-4714
US

V. Phone/Fax

Practice location:
  • Phone: 806-828-6268
  • Fax:
Mailing address:
  • Phone: 806-828-6268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number110440
License Number StateTX

VIII. Authorized Official

Name: MRS. SHARON M MCDONALD
Title or Position: ADMINISTRATOR
Credential: LNHA
Phone: 806-828-6268