# BLUEBONNET NURSING AND REHABILITATION LP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003803503
- **Authorized official:** MR. DAN D. FLAGG (CEO)
- **Authorized official phone:** (940) 387-4388

## Contact information

- **Practice address:** 696 FM 99, KARNES CITY, TX 78118-5009
- **Practice address phone:** (830) 780-3944
- **Practice address fax:** (830) 780-4469
- **Mailing address:** 419 S ELM ST, DENTON, TX 76201-6085
- **Mailing address phone:** (940) 387-4388
- **Mailing address fax:** (940) 380-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 120974 | TX | Yes |

## Other

- **Enumeration date:** 09/30/2005
- **Last updated:** 01/30/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001004052 | — | TX |
| 01 | — | 0945339 01 | TMHP CROSS OVER | TX |