# CZECH CATHOLIC HOME FOR THE AGED

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

## Provider details

- **NPI number:** 1063445203
- **Authorized official:** MS. EDITH SOHRT MOLBERG MASTER OF SCIENCE (ADMINISTRATOR)
- **Authorized official phone:** (979) 648-2628

## Contact information

- **Practice address:** RR 3 BOX 40, EL CAMPO, TX 77437-9601
- **Practice address phone:** (979) 648-2628
- **Practice address fax:** (979) 648-2884
- **Mailing address:** RR 3 BOX 40, EL CAMPO, TX 77437-9601
- **Mailing address phone:** (979) 648-2628
- **Mailing address fax:** (979) 648-2884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 109078 | TX | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020