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General NPI Number Information
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NPI Number | 1528059433
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Entity Type | Organization
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Legal Business Name | HANSFORD MANOR
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 707 ROLAND ST
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City | SPEARMAN
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State | TX
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Zip | 79081-3441
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Country | US
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Telephone | 806-659-2535
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Fax | 806-659-2683
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Provider Business Mailing Address
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Address Line | 707 ROLAND ST
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City | SPEARMAN
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State | TX
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Zip | 79081-3441
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Country | US
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Telephone | 806-659-2535
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Fax | 806-659-2683
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Authorized Official
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Title or Position | NURSING HOME ADMINISTRATOR
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Name | MRS. MARSHA JARRELL
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Credential |
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Telephone | 806-659-5848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 110936
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License Number State | TX
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