Pine Grove Snf, Lp

NPI 1326032186 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1326032186
Enumeration Date 09/08/2005
Last Updated 01/26/2016
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PAULA PAULA
Position AUTHORIZED OFFICER
Phone (936) 598-6286
Fax (936) 598-6464
Practice Location
246 HALEY DR
CENTER TX, 75935-9798, US
Phone (936) 598-6286
Fax (936) 598-6464
Business Location
1500 WATERS RIDGE DR
SUITE 200
LEWISVILLE TX, 75057-6011, US
Phone (972) 899-4401
Fax (972) 899-4460
Toxanomy
Taxonomy Code 314000000X
License State Texas
License Number 115789
Remove 1326032186 NPI Number
 

According to our database, Pine Grove Snf, Lp NPI is 1326032186, taxonomy code is 314000000X and license number is 115789, license state is located at Texas. Pine Grove Snf, Lp physically located at 246 Haley Dr, Center TX, 75935-9798. NPI Number 1033115704 has the healthcare provider type.

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1326032186 NPI number is provided on an as is basis without warranty of any kind. 1326032186 is maintained by the National Plan & Provider Enumeration System. The contents of Pine Grove Snf, Lp are for informational purposes only.