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Organization
VAL VERDE COUNTY HOSPITAL DISTRICT
Active
Organization
VAL VERDE COUNTY HOSPITAL DISTRICT
Active
Other names
Pearsall Nursing and Rehabilitation Center - North
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO SOTELO (CHAIRMAN)
(830) 775-8566
Entity
Organization
Contact information
Practice address
169 MEDICAL DR, PEARSALL, TX 78061-6604
(830) 334-3371
(830) 334-2001
Mailing address
101 W GOODWIN AVE, STE 600, VICTORIA, TX 77901-6502
(361) 576-0694
(361) 576-5484
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
115119
TX
314000000X
Skilled Nursing Facility
Primary
455797
TX
332B00000X
Durable Medical Equipment & Medical Supplies
3873900001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026401
—
TX
05
—
011179101
—
TX
05
—
011179102
—
TX
05
—
502206
—
TX
Enumeration date
05/05/2006
Last updated
09/14/2015
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