MEDICARE: SWEET NECHES PROPERTIES, LTD.

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
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1962710079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWEET NECHES PROPERTIES, LTD.

Provider Business Mailing Address
First Line	:	144 BULLDOG AVE
Second Line	:
City	:	JASPER
State	:	TX
Zip	:	75951-4938
Country	:	US
Telephone Number	:	409-381-8505
Fax Number	:	409-381-8508

Provider Business Practice Location Address
First Line	:	144 BULLDOG AVE
Second Line	:
City	:	JASPER
State	:	TX
Zip	:	75951-4949
Country	:	US
Telephone Number	:	936-212-2621
Fax Number	:

Authorized Official
Title or Position	:	MANAGER OF GENERAL PARTNER
Name	:	MR. MICHAEL L DAVIS
Credential	:
Telephone Number	:	936-212-2621

Provider Enumeration Date	:	09/23/2010
Last Update Date	:	05/19/2026

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Directions to “SWEET NECHES PROPERTIES, LTD. ” Practice Location

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