Healthcare Provider Details

I. General information

NPI: 1255329603
Provider Name (Legal Business Name): BORGER HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 S FLORIDA ST NONE
BORGER TX
79007-6306
US

IV. Provider business mailing address

1316 S FLORIDA ST NONE
BORGER TX
79007-6306
US

V. Phone/Fax

Practice location:
  • Phone: 806-273-3785
  • Fax: 806-274-5976
Mailing address:
  • Phone: 806-273-3785
  • Fax: 806-274-5976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number110513
License Number StateTX

VIII. Authorized Official

Name: MRS. ALLINE NMI BURLEY
Title or Position: ADMINISTRATOR
Credential: LFNA
Phone: 806-273-3785