# MORNINGSTAR OPERATING \#1, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fireside Lodge Rehabilitation Center of Cleburne
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174533392
- **Authorized official:** MR. JOHN R WILCOX (PRESIDENT)
- **Authorized official phone:** (281) 363-1005

## Contact information

- **Practice address:** 301 LINCOLN PARK DR, CLEBURNE, TX 76033-7016
- **Practice address phone:** (817) 558-7392
- **Mailing address:** 318 BRIAR ROCK RD, THE WOODLANDS, TX 77380-3528
- **Mailing address phone:** (281) 363-1005
- **Mailing address fax:** (281) 292-2092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 112679 | TX | Yes |

## Other

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