AMANA ROSE ,LLC
Skilled Nursing Facility
Irving, Texas
Provider NPI: 1700889599
Organization Information:Organization Name: AMANA ROSE ,LLC
Practice Location:
225 N SOWERS RD IRVING, TX 75061 US
Tel: 806-771-4124 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:
225 N SOWERS RD IRVING, TX 75061 US
Tel: 806-771-4124 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TX | 114145 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
5141 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin