Southwest LTC--Brady West, LTD.

Organization Active NPI Skilled Nursing Facility · Brady, TX

NPI 1467439976 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1467439976
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
004744 (TX)
Legal business name
SOUTHWEST LTC--BRADY WEST, LTD.
Practice address
2201 Menard Hwy
Brady, TX 76825-7432
Phone
(325) 597-2906
Fax
(325) 597-2555
NPI assigned
Dec 27, 2005
Organization subpart
No

Authorized official

Name
Mr. Ronald R. Payne, ESQ.
Title
Managing Member
Phone
(469) 916-6100

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 004744 TX Yes

Addresses

Primary practice location

2201 Menard Hwy
Brady, TX 76825-7432

Mailing address

17760 Preston Rd
Suite 310
Dallas, TX 75252-5663
Phone (469) 916-6100

Other names

  • Brady West Nursing and Convalescent Center Doing business as

Other providers in Brady, TX

All providers in Brady, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.