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NPI Code Detail

MEDICARE: NIGHTINGALE REHABILITATION, INC.

MEDICARE: NIGHTINGALE REHABILITATION, 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
1320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility114923TX

General Provider Information

NPI Number : 1316973696
Entity Type Code : Organization
Provider Name (Legal Business Name) : NIGHTINGALE REHABILITATION, INC.
Provider Business Mailing Address
First Line : 5802 HOLLY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77074-7838
Country : US
Telephone Number : 713-981-1543
Fax Number : 713-995-6376
Provider Business Practice Location Address
First Line : 8103 DUNLAP ST
Second Line :
City : HOUSTON
State : TX
Zip : 77074-7828
Country : US
Telephone Number : 713-981-1571
Fax Number : 713-981-1571
Authorized Official
Title or Position : ONWER
Name : MR. PHILIP CHUNG
Credential :
Telephone Number : 713-981-1543
Provider Enumeration Date : 06/25/2006
Last Update Date : 08/22/2020

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Directions to “NIGHTINGALE REHABILITATION, INC. ” Practice Location

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