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NPI Code Detail

MEDICARE: VILLA HEALTH CARE CENTER LTD CO

MEDICARE: VILLA HEALTH CARE CENTER LTD CO
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 Facility113911TX

General Provider Information

NPI Number : 1609862929
Entity Type Code : Organization
Provider Name (Legal Business Name) : VILLA HEALTH CARE CENTER LTD CO
Provider Business Mailing Address
First Line : 2537 GOLDEN BEAR DR
Second Line :
City : CARROLLTON
State : TX
Zip : 75006-2377
Country : US
Telephone Number : 214-954-4114
Fax Number : 214-871-3057
Provider Business Practice Location Address
First Line : 2918 DUNCANVILLE RD
Second Line :
City : DALLAS
State : TX
Zip : 75211-7407
Country : US
Telephone Number : 214-467-7090
Fax Number : 214-467-7094
Authorized Official
Title or Position : CHIEF EXECUTIVE
Name : MRS. ROBIN UNDERHILL
Credential :
Telephone Number : 214-954-4114
Provider Enumeration Date : 09/22/2005
Last Update Date : 08/22/2020

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Directions to “VILLA HEALTH CARE CENTER LTD CO ” Practice Location

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