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NPI Code Detail

MEDICARE: SENIOR CARE SERVICES

MEDICARE: SENIOR CARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility004777TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HH2584OTHERTXBLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number : 1457353617
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR CARE SERVICES
Provider Business Mailing Address
First Line : 1413 EAST I 30
Second Line : STE 7
City : GARLAND
State : TX
Zip : 75043-4598
Country : US
Telephone Number : 972-303-9000
Fax Number : 972-303-9992
Provider Business Practice Location Address
First Line : 1448 HOUSTON ST
Second Line :
City : WILLS POINT
State : TX
Zip : 75169-3120
Country : US
Telephone Number : 972-303-9000
Fax Number : 972-303-9992
Authorized Official
Title or Position : VP CFO
Name : SHANE LEWIS
Credential :
Telephone Number : 972-303-9000
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/13/2007

Similar Medicare Providers

1326220732 — SENIOR CARE SERVICES
Practice Location Address:
1448 HOUSTON ST
WILLS POINT, TX
75169-3120
Practice Phone: 903-873-5400
Practice Fax:
1154566818 — CRESTWOOD SCC LLC
Practice Location Address:
1448 HOUSTON ST
WILLS POINT, TX
75169-3120
Practice Phone: 903-873-5400
Practice Fax: 903-873-4404
1255762514 — LATITIA PHILLIPS
Practice Location Address:
1448 HOUSTON ST
WILLS POINT, TX
75169-3120
Practice Phone: 903-873-5400
Practice Fax:
1356823991 — MRS. LOURDES RAQUEL WILKERSON PT
Practice Location Address:
1448 HOUSTON ST
WILLS POINT, TX
75169-3120
Practice Phone: 903-873-2728
Practice Fax:
1306301973 — JESSICA DEBAUN
Practice Location Address:
1448 HOUSTON ST
WILLS POINT, TX
75169-3120
Practice Phone: 903-873-6736
Practice Fax:
1932742616 — EASTLAND MEMORIAL HOSPITAL DISTRICT
Practice Location Address:
1448 HOUSTON ST
WILLS POINT, TX
75169-3120
Practice Phone: 903-873-5400
Practice Fax: 903-873-4404

Directions to “SENIOR CARE SERVICES ” Practice Location

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