# PHPM MISSION CARE CENTERS - NEW COVENANT LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Garden Villa Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164404075
- **Authorized official:** MRS. JAMIE LATTURE COLLIER (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (972) 731-3800

## Contact information

- **Practice address:** 106 DEL NORTE DR, EL CAMPO, TX 77437-2504
- **Practice address phone:** (979) 543-6762
- **Practice address fax:** (979) 543-9626
- **Mailing address:** 5420 W PLANO PKWY, PLANO, TX 75093-4823
- **Mailing address phone:** (972) 931-3800
- **Mailing address fax:** (972) 767-6222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 113790 | TX | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 11/13/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001013031 | — | TX |