# REGENCY NURSING CENTER PARTNERS OF FRIO COUNTY, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pearsall Nursing and Rehabilitation Center - South
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114975653
- **Authorized official:** MR. HEBER S LACERDA (PRESIDENT/CEO)
- **Authorized official phone:** (361) 576-0694

## Contact information

- **Practice address:** 320 S ASH ST, PEARSALL, TX 78061-3102
- **Practice address phone:** (830) 334-4197
- **Practice address fax:** (830) 334-3224
- **Mailing address:** 320 S ASH ST, PEARSALL, TX 78061-3102
- **Mailing address phone:** (830) 334-4197
- **Mailing address fax:** (830) 334-3224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 116900 | TX | — |
| 314000000X | Skilled Nursing Facility | 455847 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 5013400001 | TX | — |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004166 | — | TX |