MSHC THE WATERTON AT COWHORN CREEK, LLC
Nursing at Cowhorn Creek Rd, Texarkana, TX

License number
Texas 115905
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: CARLA POWER
Title: CFO
Phone: (903) 534-8667
Address
Address 2
5524 Cowhorn Creek Rd, Texarkana, TX 75503
1901 Rickety Ln STE 208, Tyler, TX 75703
National Provider ID: 1255497137
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MSHC THE WATERTON AT COWHORN CREEK LLC

Texarkana, TX  -  Tyler, TX

Industry:
Health/Allied Services
Doing business as:
Mshc Waterton at Cowhorn Creek
Registration:
Nov 15, 2004
Addresses:
4201 Texas Blvd, Texarkana, TX 75503 (Mailing)
1901 Rickety Ln, Tyler, TX 75703
5001 Elizabeth St, Texarkana, TX 75503
State ID:
0800414272
Business type:
Domestic Limited Liability Company (LLC)
Vice Presidents:
John V Rich Iii (Vice Presi), 2202 Heather Ln, Tyler, TX 75703,Michael R Rich (President), 5769 Ramblewood, Whitehouse, TX 75791,John V. Rich (Vice President)
TIN:
12017187274

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