MEDICARE: TOWN HALL ESTATES-HILLSBORO, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	115481	TX

General Provider Information

NPI Number	:	1164439931
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN HALL ESTATES-HILLSBORO, INC.

Provider Business Mailing Address
First Line	:	300 HAPPY LN
Second Line	:
City	:	HILLSBORO
State	:	TX
Zip	:	76645-2624
Country	:	US
Telephone Number	:	254-582-8482
Fax Number	:	254-582-2487

Provider Business Practice Location Address
First Line	:	300 HAPPY LN
Second Line	:
City	:	HILLSBORO
State	:	TX
Zip	:	76645-2624
Country	:	US
Telephone Number	:	254-582-8482
Fax Number	:	254-582-2487

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	JERRY TURNER
Credential	:
Telephone Number	:	254-582-8482

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	08/22/2020

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