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PRAIRIE ACRES

Assisted Living Facility

Friona, Texas

Provider NPI: 1912982083

Organization Information:
Organization Name:  PRAIRIE ACRES


Practice Location:
201 E. 15TH STREET  FRIONA, TX 79035 US
Tel: 806-250-3922  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
TX107250
N313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
TX111644
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
TX126276
Y313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
TX125044

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE DMERC128027000101
000509501TX05
001001908TX05
021936201TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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