AZLE MANOR HEALTH CARE, L.L.L.P.
Skilled Nursing Facility
Azle, Texas
Provider NPI: 1982609269
Organization Information:Organization Name: AZLE MANOR HEALTH CARE, L.L.L.P.
Practice Location:
721 DUNAWAY LN AZLE, TX 76020 US
Tel: 817-444-2536 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:
721 DUNAWAY LN AZLE, TX 76020 US
Tel: 817-444-2536 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TX | 000119994 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
001025390 | TX | 05 | |
000498401 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin