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NPI Code Detail

MEDICARE: WINNIE L. NURSING FACILITY

MEDICARE: WINNIE L. NURSING FACILITY
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
1313M00000XNursing Facility/Intermediate Care Facility109457TX
2314000000XSkilled Nursing Facility115833TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871581439
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINNIE L. NURSING FACILITY
Provider Business Mailing Address
First Line : 2104 N KARNES AVE
Second Line :
City : CAMERON
State : TX
Zip : 76520-1055
Country : US
Telephone Number : 254-697-4985
Fax Number : 254-697-2129
Provider Business Practice Location Address
First Line : 2104 N KARNES AVE
Second Line :
City : CAMERON
State : TX
Zip : 76520-1055
Country : US
Telephone Number : 254-697-4985
Fax Number : 254-697-2129
Authorized Official
Title or Position : PRESIDENT
Name : MR. FREDERICK JAMES VOGELSANG
Credential :
Telephone Number : 254-697-4985
Provider Enumeration Date : 10/07/2005
Last Update Date : 09/11/2025

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Directions to “WINNIE L. NURSING FACILITY ” Practice Location

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