Organization Name: | MERRILL GARDENS, WICHITA FALLS |
NPI Number: | 1902002819 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUZANNE WYSE (REGIONAL VICE PRESIDENT OF OPERATIO) |
Mailing Address: | 5100 Kell Blvd Wichita Falls |
State: | TX US |
Postal Code: | 763101746 |
Phone Number: | 9406918181 |
Fax Number: | 9406916770 |
NPI Enumeration Date: | 06/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 117964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |