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NPI Code Detail

MEDICARE: HALLETTSVILLE REHABILITATION AND NURSING CENTER

MEDICARE: HALLETTSVILLE REHABILITATION AND NURSING CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care Facility005297TX

General Provider Information

NPI Number : 1558352690
Entity Type Code : Organization
Provider Name (Legal Business Name) : HALLETTSVILLE REHABILITATION AND NURSING CENTER
Provider Business Mailing Address
First Line : 825 W FAIRWINDS ST
Second Line :
City : HALLETTSVILLE
State : TX
Zip : 77964-3531
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 825 W FAIRWINDS ST
Second Line :
City : HALLETTSVILLE
State : TX
Zip : 77964-3531
Country : US
Telephone Number : 362-798-3268
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : KENNETH WELCH
Credential :
Telephone Number : 361-798-3268
Provider Enumeration Date : 10/28/2005
Last Update Date : 08/22/2020

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Directions to “HALLETTSVILLE REHABILITATION AND NURSING CENTER ” Practice Location

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