Provider Demographics
NPI:1629613211
Name:VISERYS MANAGEMENT
Entity Type:Organization
Organization Name:VISERYS MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-883-1311
Mailing Address - Street 1:PO BOX 786
Mailing Address - Street 2:
Mailing Address - City:ARCHER CITY
Mailing Address - State:TX
Mailing Address - Zip Code:76351-0786
Mailing Address - Country:US
Mailing Address - Phone:940-574-4551
Mailing Address - Fax:940-574-2366
Practice Address - Street 1:200 E. CHESTNUT
Practice Address - Street 2:
Practice Address - City:ARCHER CITY
Practice Address - State:TX
Practice Address - Zip Code:76351
Practice Address - Country:US
Practice Address - Phone:940-574-4551
Practice Address - Fax:940-574-2366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility