Healthcare Provider Details

I. General information

NPI: 1285922781
Provider Name (Legal Business Name): STERLING CITY HEALTHCARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2011
Last Update Date: 07/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 5TH ST
STERLING CITY TX
76951
US

IV. Provider business mailing address

712 FAIR PARK DR
HENDERSON TX
75654-3208
US

V. Phone/Fax

Practice location:
  • Phone: 325-378-2134
  • Fax:
Mailing address:
  • Phone: 903-657-8969
  • Fax: 903-657-8960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number000488901
License Number StateTX

VIII. Authorized Official

Name: ALLEN KING
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 903-657-8969