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Contact Information

AZLE MANOR HEALTH CARE, L.L.L.P.
721 DUNAWAY LN
AZLE, TX76020
 Phone: 817-444-2536
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for AZLE MANOR HEALTH CARE, L.L.L.P.

NPI # 1982609269
LBN Legal business name AZLE MANOR HEALTH CARE, L.L.L.P.
Authorized official MAURA PANOS - (ACCOUNTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2005
Last updated 08/03/2020 - About 6 years ago
Identifiers
TX License # 000119994
TX Medicaid 000498401
TX Medicaid 001025390
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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