Healthcare Provider Details

I. General information

NPI: 1811961865
Provider Name (Legal Business Name): MEXIA MANAGEMENT CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 05/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 E SUMPTER ST
MEXIA TX
76667-2354
US

IV. Provider business mailing address

501 E SUMPTER ST
MEXIA TX
76667-2354
US

V. Phone/Fax

Practice location:
  • Phone: 254-562-5543
  • Fax: 254-562-2206
Mailing address:
  • Phone: 254-562-5543
  • Fax: 254-562-2206

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4303
License Number StateTX

VIII. Authorized Official

Name: MRS. CHELSIA TAYLOR
Title or Position: PRESIDENT
Credential:
Phone: 254-562-3999