Healthcare Provider Details

I. General information

NPI: 1902892219
Provider Name (Legal Business Name): SILSBEE HEALTH CARE CENTER LTD. CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 HIGHWAY 418 W
SILSBEE TX
77656-3411
US

IV. Provider business mailing address

2801 WOODSIDE ST
DALLAS TX
75204-8653
US

V. Phone/Fax

Practice location:
  • Phone: 409-385-3784
  • Fax: 409-385-0808
Mailing address:
  • Phone: 214-954-4114
  • Fax: 214-871-3057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number108612
License Number StateTX

VIII. Authorized Official

Name: MRS. ROBIN UNDERHILL
Title or Position: A/R MANAGER
Credential:
Phone: 214-954-4114