Healthcare Provider Details

I. General information

NPI: 1336396829
Provider Name (Legal Business Name): KARNES CITY NURSING & REHAB CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2008
Last Update Date: 02/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 COUNTRY CLUB DR
KARNES CITY TX
78118-3100
US

IV. Provider business mailing address

712 FAIR PARK DR
HENDERSON TX
75654-3208
US

V. Phone/Fax

Practice location:
  • Phone: 830-780-4248
  • Fax:
Mailing address:
  • Phone: 903-657-8969
  • Fax: 903-657-8960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: BURT ALLEN KING
Title or Position: CFO
Credential:
Phone: 903-657-8969