Healthcare Provider Details

I. General information

NPI: 1366432445
Provider Name (Legal Business Name): RICE SPRINGS CARE HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 08/01/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 NORTH FIRST STREET
HASKELL TX
79521-9731
US

IV. Provider business mailing address

1302 NORTH FIRST STREET
HASKELL TX
79521-9731
US

V. Phone/Fax

Practice location:
  • Phone: 940-864-2652
  • Fax:
Mailing address:
  • Phone: 940-864-2652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number112281
License Number StateTX

VIII. Authorized Official

Name: MR. JEFF LEWIS
Title or Position: OWNER
Credential: ATTORNEY
Phone: 325-673-8384