# ST GILES NURSING AND REHABILITATION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St Giles Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033518535
- **Authorized official:** MR. LLOYD W DOUGLAS (MANAGER)
- **Authorized official phone:** (817) 332-3030

## Contact information

- **Practice address:** 950 CAMINO DEL REY, EL PASO, TX 79927-4288
- **Practice address phone:** (817) 332-3030
- **Practice address fax:** (817) 332-3032
- **Mailing address:** 1415 BALLINGER ST, FORT WORTH, TX 76102-5905
- **Mailing address phone:** (817) 332-3030

## Taxonomy

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

## Other

- **Enumeration date:** 08/20/2014
- **Last updated:** 06/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1026304 | — | TX |