MEDICARE: ALTO NURSING CENTER, INC.

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
1	314000000X	Skilled Nursing Facility	111776	TX

General Provider Information

NPI Number	:	1811963101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTO NURSING CENTER, INC.

Provider Business Mailing Address
First Line	:	PO BOX 534
Second Line	:	1884 LOOP 343 WEST
City	:	RUSK
State	:	TX
Zip	:	75785-0534
Country	:	US
Telephone Number	:	903-683-1042
Fax Number	:	903-683-3834

Provider Business Practice Location Address
First Line	:	1884 LOOP 343 WEST
Second Line	:
City	:	RUSK
State	:	TX
Zip	:	75785-0534
Country	:	US
Telephone Number	:	903-683-1042
Fax Number	:	903-683-3834

Authorized Official
Title or Position	:	OWNER/ADMINISTATOR
Name	:	MR. STEVE WINFIELD
Credential	:
Telephone Number	:	903-683-1042

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	01/25/2011

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