SEARS BRAZOS RETIREMENT CORPORATION
Alzheimer Center
Waco, Texas
Provider NPI: 1649253303
Organization Information:Organization Name: SEARS BRAZOS RETIREMENT CORPORATION
Practice Location:
1700 WOODGATE DR WACO, TX 76712 US
Tel: 254-666-5454 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1700 WOODGATE DR WACO, TX 76712 US
Tel: 254-666-5454 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | TX | 113492 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
001012296 | TX | 05 | |
MEDICARE SNF | 67-6211 | TX | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin