Azle Manor Health Care, L.L.L.P.
Skilled Nursing Facility in Azle, TX. Organization (NPI-2).
NPI number1982609269
StatusActive
Last updated in NPPESAug 3, 2020
Details
- NPI
- 1982609269
- Entity type
- Organization (NPI-2)
- Legal business name
- Azle Manor Health Care, L.L.L.P.
- Organization subpart
- No
- Enumeration date
- Jun 14, 2005
- Certification date
- Aug 3, 2020
- Last updated
- Aug 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 000119994 | TX | Yes |
Other names
- Azle Manor Health Care And Rehabilitation (Doing Business As)
Practice location
721 Dunaway LnAzle, TX 76020
Phone 817-444-2536
Mailing address
7150 Gantt Access RdAzle, TX 76020-5638
Phone 817-444-2516
Authorized official
Maura Panos
Accountant
8174442516
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