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NPI Code Detail

MEDICARE: BELTERRA HEALTH & REHAB, LLC

MEDICARE: BELTERRA HEALTH & REHAB, LLC
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
1314000000XSkilled Nursing FacilityTX

General Provider Information

NPI Number : 1588080519
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELTERRA HEALTH & REHAB, LLC
Provider Business Mailing Address
First Line : 2208 HIGHWAY 121
Second Line : SUITE 180
City : BEDFORD
State : TX
Zip : 76021-5981
Country : US
Telephone Number : 817-268-8103
Fax Number : 817-282-5967
Provider Business Practice Location Address
First Line : 2170 NORTH LAKE FOREST DRIVE
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-5156
Country : US
Telephone Number : 817-268-8103
Fax Number :
Authorized Official
Title or Position : PRESIDENT/MANAGER
Name : DARREN M LEE
Credential :
Telephone Number : 817-268-8103
Provider Enumeration Date : 03/14/2014
Last Update Date : 03/26/2014

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Directions to “BELTERRA HEALTH & REHAB, LLC ” Practice Location

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