Healthcare Provider Details

I. General information

NPI: 1326005034
Provider Name (Legal Business Name): NEXION HEALTH AT TERRELL MANOR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N FRANCES ST
TERRELL TX
75160-1217
US

IV. Provider business mailing address

1430 PROGRESS WAY SUITE 108
ELDERSBURG MD
21784-6429
US

V. Phone/Fax

Practice location:
  • Phone: 972-563-2652
  • Fax: 972-563-0828
Mailing address:
  • Phone: 410-552-4800
  • Fax: 410-552-4837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number004528
License Number StateTX

VIII. Authorized Official

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