Provider Demographics
NPI:1659671451
Name:PARAZIM
Entity Type:Organization
Organization Name:PARAZIM
Other - Org Name:COTTON VIEW REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERRILL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SLAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-939-1385
Mailing Address - Street 1:3823 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-2628
Mailing Address - Country:US
Mailing Address - Phone:469-939-1385
Mailing Address - Fax:
Practice Address - Street 1:925 W CROCKETT ST
Practice Address - Street 2:
Practice Address - City:FLOYDADA
Practice Address - State:TX
Practice Address - Zip Code:79235-3609
Practice Address - Country:US
Practice Address - Phone:806-983-3704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4534313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4534Medicaid
TX67-5467OtherMEDICARE NUMBER