# GUADALUPE COUNTY HOSPITAL BOARD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Wesleyan at Scenic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265898985
- **Authorized official:** PENNY WALLACE (CFO)
- **Authorized official phone:** (830) 401-7220

## Contact information

- **Practice address:** 2001 SCENIC DR, GEORGETOWN, TX 78626-7725
- **Practice address phone:** (512) 863-9511
- **Mailing address:** 2001 SCENIC DR, GEORGETOWN, TX 78626-7725
- **Mailing address phone:** (512) 863-9511

## Taxonomy

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

## Other

- **Enumeration date:** 01/11/2016
- **Last updated:** 10/24/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000423601 | — | TX |
| 01 | — | 675727 | MEDICARE PROVIDER NUMBER | TX |