Provider Demographics
NPI:1013174606
Name:BAPTIST COMMUNITY SERVICES
Entity Type:Organization
Organization Name:BAPTIST COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR V P REGULATORY AFFAIRS
Authorized Official - Prefix:DR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:LEROY
Authorized Official - Last Name:LANGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:806-337-5296
Mailing Address - Street 1:701 PARK PLACE AVE
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79101-4005
Mailing Address - Country:US
Mailing Address - Phone:806-337-5296
Mailing Address - Fax:806-356-9586
Practice Address - Street 1:400 W 14TH AVE
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79101-4140
Practice Address - Country:US
Practice Address - Phone:806-337-5176
Practice Address - Fax:806-337-5174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121306310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility