Pecan Manor Nursing And Rehabilitation Lp

NPI 1366433518 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1366433518
Enumeration Date 11/04/2005
Last Updated 03/21/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICHAEL A MICHAEL
Position PRESIDENT
Phone (817) 561-4495
Fax (817) 561-6033
Practice Location
413 MANSFIELD CARDINAL RD
KENNEDALE TX, 76060-2805, US
Phone (817) 561-4495
Fax (817) 561-6033
Business Location
401 N ELM ST
DENTON TX, 76201-4137, US
Phone (940) 387-4388
Fax (940) 380-2410
Toxanomy
Taxonomy Code 314000000X
License State Texas
License Number 115249
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According to our database, Pecan Manor Nursing And Rehabilitation Lp NPI is 1366433518, taxonomy code is 314000000X and license number is 115249, license state is located at Texas. Pecan Manor Nursing And Rehabilitation Lp physically located at 413 Mansfield Cardinal Rd, Kennedale TX, 76060-2805. NPI Number 1033115704 has the healthcare provider type.

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1366433518 NPI number is provided on an as is basis without warranty of any kind. 1366433518 is maintained by the National Plan & Provider Enumeration System. The contents of Pecan Manor Nursing And Rehabilitation Lp are for informational purposes only.