Clyde SNF LLC
Organization Active NPI Skilled Nursing Facility · Clyde, TX
NPI 1609102185 · NPPES record last updated Oct 21, 2009
Key facts
- NPI
- 1609102185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- CLYDE SNF LLC
- Practice address
- 806 Stephens St
Clyde, TX 79510-4554 - Phone
- (915) 893-4288
- NPI assigned
- Oct 19, 2009
- Organization subpart
- No
Authorized official
- Name
- Zevi Kohn
- Title
- Cfo
- Phone
- (917) 370-9063
National Provider Directory
Locations
806 Stephens St
Clyde, TX 79510
Phone (325) 893-4288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes | ||
| Nursing Facility Supplies (DME) | 332BN1400X |
Addresses
Primary practice location
806 Stephens St
Clyde, TX 79510-4554
Mailing address
2225 E Randol Mill Rd
Ste 630
Arlington, TX 76011-6315
Phone (817) 607-7400
Other names
- Clyde Nursing Center
Other providers in Clyde, TX
- Citizens Emergency Medical Service
- Citizens Emergency Medical Service Inc.
- Clyde Cons Isd
- Clyde Nursing Center, L.P
- Clyde Physical Therapy PLLC
- Kathryn Linette Cobb
- Heather Dechaume
- Michelle Bufkin Escobedo
- Eula Independent School District
- Shayla R Fine
All providers in Clyde, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.