Healthcare Provider Details

I. General information

NPI: 1992170872
Provider Name (Legal Business Name): CENTER NURSING & REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2015
Last Update Date: 04/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

280 MOFFITT DR
CENTER TX
75935-8520
US

IV. Provider business mailing address

280 MOFFITT DR
CENTER TX
75935-8520
US

V. Phone/Fax

Practice location:
  • Phone: 936-598-3371
  • Fax: 936-598-5726
Mailing address:
  • Phone: 936-598-3371
  • Fax: 936-598-5726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: SOLOMON GURWITZ
Title or Position: MEMBER
Credential:
Phone: 323-346-4052