# VAL VERDE COUNTY HOSPITAL DISTRICT

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

## Provider details

- **NPI number:** 1205884749
- **Authorized official:** MR. ANTONIO SOTELO (CHAIRMAN)
- **Authorized official phone:** (830) 775-8566

## Contact information

- **Practice address:** 169 MEDICAL DR, PEARSALL, TX 78061-6604
- **Practice address phone:** (830) 334-3371
- **Practice address fax:** (830) 334-2001
- **Mailing address:** 101 W GOODWIN AVE, STE 600, VICTORIA, TX 77901-6502
- **Mailing address phone:** (361) 576-0694
- **Mailing address fax:** (361) 576-5484

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 115119 | TX | — |
| 314000000X | Skilled Nursing Facility | 455797 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 3873900001 | TX | — |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 09/14/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001026401 | — | TX |
| 05 | — | 011179101 | — | TX |
| 05 | — | 011179102 | — | TX |
| 05 | — | 502206 | — | TX |