# PHCC-LA HACIENDA REHABILITATION & HEALTH CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** La Hacienda Rehabilitation & Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205117207
- **Authorized official:** MR. JAMES MEYERS (CEO)
- **Authorized official phone:** (210) 545-6320

## Contact information

- **Practice address:** 3730 W. OREM DR., HOUSTON, TX 77045-4749
- **Practice address phone:** (210) 545-6320
- **Mailing address:** 19115 FM 2252, SUITE 1, GARDEN RIDGE, TX 78266-2577

## Taxonomy

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

## Other

- **Enumeration date:** 09/02/2011
- **Last updated:** 09/02/2011

## Other identifiers

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