James W Wallace Dba Southern Wind Manor
James W Wallace Dba Southern Wind Manor is an Assisted Living Facility in Pittsburg, Texas. Licensed in Texas. Registered with an NPI since 2007.
- Licensed in
- TX
- In the registry since
- 2007
Practice location Address checks out
618 Quitman StPittsburg, TX 75686-1086
Phone: (903) 855-1555
Fax: (903) 855-1585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 118382 (TX) |
|---|
Record details
| NPI number | 1407997380 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melissa Dyer — Administrator · (903) 855-1555 |
| NPI enumerated | February 12, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 618 Quitman St, Pittsburg, TX 75686-1086 |