Healthcare Provider Details

I. General information

NPI: 1699736421
Provider Name (Legal Business Name): NEXION HEALTH AT BOGATA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2006
Last Update Date: 03/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2407 W MAIN ST
CLARKSVILLE TX
75426-3327
US

IV. Provider business mailing address

6937 WARFIELD AVE
SYKESVILLE MD
21784-7454
US

V. Phone/Fax

Practice location:
  • Phone: 903-427-3821
  • Fax: 903-427-5111
Mailing address:
  • Phone: 410-552-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number114691
License Number StateTX

VIII. Authorized Official

Name: FRANCIS P KIRLEY
Title or Position: CEO
Credential:
Phone: 410-552-4800