Kristi Lee Manor Inc

LBN: Kristi Lee Manor Inc
Kristi Lee Manor Inc is an health care organization with primary practice located at 1941 Chestnut St , Colorado City TX 79512-3099. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility is the primary health care specialty. Kristi Lee Manor Inc can be contacted via phone (325) 728-5247, or through Moody, Clark via phone (325) 728-5247.

Contact Information

Primary practice address
1941 Chestnut St Colorado City TX 79512-3099
Phone: (325) 728-5247
Fax: (325) 728-2611
Website:
Map and Directions
Authorized official contact:
Name: Moody, Clark
Phone: (325) 728-5247

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 111707 Texas
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 676027 Texas

Profile Details

NPI number 1558472951
LBN Legal business name Kristi Lee Manor Inc
DBA Doing business as
Authorized official Moody, Clark
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 12th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558472951 NPPES
Texas MEDICAID 45E123

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