Organization · Type 2 NPI

Southwest LTC - Corsicana LLC

Skilled Nursing Facility · Corsicana, TX

NPI number 1649735036 Active

Practice location

3002 W 2nd Ave
Corsicana, TX 75110-2492

Call (903) 872-5130 Map

Mailing address

5560 Tennyson Pkwy Ste 210
Plano, TX 75024-3582

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility	310400000X	None listed
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

14 other providers at this address

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NPI record

NPI: 1649735036
Entity type: Organization (Type 2)
Issued: Feb 10, 2019
Last updated: Dec 28, 2020
Status: Active

Other names

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The Village at Heritage Oaks · doing business as
The Village at Heritage Oaks · doing business as

Authorized official

Ronald Payne
Authorized Officer
(469) 916-6100

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About NPI 1649735036

Southwest LTC - Corsicana LLC's National Provider Identifier is 1649735036, issued on Feb 10, 2019. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Corsicana, TX. The record was last updated on Dec 28, 2020.