Provider Demographics
NPI:1487899258
Name:SCTW HEALTH CARE CENTER, INC.
Entity type:Organization
Organization Name:SCTW HEALTH CARE CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:WYNELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SUITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-938-8282
Mailing Address - Street 1:4905 FLEMING STREET
Mailing Address - Street 2:
Mailing Address - City:LA MARQUE
Mailing Address - State:TX
Mailing Address - Zip Code:77568
Mailing Address - Country:US
Mailing Address - Phone:409-938-8282
Mailing Address - Fax:409-938-7740
Practice Address - Street 1:4905 FLEMING ST
Practice Address - Street 2:
Practice Address - City:LA MARQUE
Practice Address - State:TX
Practice Address - Zip Code:77568-3049
Practice Address - Country:US
Practice Address - Phone:409-938-8282
Practice Address - Fax:409-938-7740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-09
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
67-6223Medicare UPIN
TX676223Medicare PIN