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Organization
WEST WHARTON COUNTY HOSPITAL DISTRICT
Active
Organization
WEST WHARTON COUNTY HOSPITAL DISTRICT
Active
Other names
Lakeside Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H MAK (CFO)
(713) 569-7370
Entity
Organization
Contact information
Practice address
8707 LAKESIDE PKWY, SAN ANTONIO, TX 78245-3245
(210) 510-3200
(210) 645-1687
Mailing address
303 SANDY CORNER RD, EL CAMPO, TX 77437-9535
(979) 578-5250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001030439
—
TX
05
—
105220
—
TX
05
—
5634
—
TX
Enumeration date
03/12/2019
Last updated
11/08/2022
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