# PHCC-WINDMILL VILLAGE REHABILITATION & HEALTH CARE CENTER, LLC

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

## Provider details

- **NPI number:** 1295020147
- **Authorized official:** MR. JAMES A MEYERS JR. (CEO)
- **Authorized official phone:** (210) 545-6320

## Contact information

- **Practice address:** 507 MARTIN LUTHER KING BLVD, LUBBOCK, TX 79403-5211
- **Practice address phone:** (210) 545-6320
- **Practice address fax:** (210) 545-2730
- **Mailing address:** 19115 FM 2252, SUITE 1, GARDEN RIDGE, TX 78266-2577
- **Mailing address phone:** (210) 545-6320
- **Mailing address fax:** (210) 545-2730

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2011
- **Last updated:** 05/29/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001020457 | — | TX |