PROVIDENCE PARK, INC.
Nursing at Highway 6, Waco, TX

License number
Texas 108085
Category
Nursing
Type
Nursing Facility/Intermediate Care Facility
License number
Texas 108085
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: AMANDA L SONNIER LNFA
Title: ADMINISTRATOR
Phone: (254) 761-8500
Address
Address
300 Highway 6 W, Waco, TX 76712
National Provider ID: 1720086655
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PROVIDENCE PARK, INC. at bizstanding.com

PROVIDENCE PARK, INC

300 W State Hwy 6, Woodway, TX 76712

Registration:
Mar 25, 2015
State ID:
0802182055
Business type:
Domestic Nonprofit Corporation
Directors:
Erik D. Hatten (Director),Michael P. Olmstead (Director),James Terry Walsh (Director)
Agent:
Corporation Service Company,211 E 7 St SUITE 620, Austin, TX 78701 (Physical)
TIN:
32056770418

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