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James W Wallace Dba Southern Wind Manor
Assisted Living Facility in Pittsburg, Texas
NPI 1407997380

James W Wallace Dba Southern Wind Manor is an Assisted Living Facility based in Pittsburg, TX. James W Wallace Dba Southern Wind Manor practices in Pittsburg, TX. The NPI Number for James W Wallace Dba Southern Wind Manor is 1407997380 and holds a License No. 118382 (Texas).

The current practice location address for James W Wallace Dba Southern Wind Manor is 618 Quitman St, Pittsburg, TX and can be reached out via phone at 903-855-1555 and via fax at 903-855-1585.

Location: 618 Quitman St, Pittsburg, TX, 75686-1086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407997380
Provider Name
James W Wallace Dba Southern Wind Manor
Credential
Provider Entity Type
Organization
Address
618 Quitman St, Pittsburg, TX, 75686-1086
Phone Number
903-855-1555
Fax Number
903-855-1585
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
618 Quitman St
City
Pittsburg
State
Texas
Zip
75686-1086
Phone Number
903-855-1555
Fax Number
903-855-1585
person
Provider Business Mailing Address Details
Address
618 Quitman St
City
Pittsburg
State
Texas
Zip
75686-1086
Phone Number
903-855-1555
Fax Number
903-855-1585
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
118382 (Texas)
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.
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