# CENTERVILLE HEALTHCARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295722015
- **Authorized official:** SHARON ANN RODELL RN (MEDICARE MANAGER)
- **Authorized official phone:** (903) 536-2596

## Contact information

- **Practice address:** 103 TEAKWOOD, CENTERVILLE, TX 75833-2497
- **Practice address phone:** (903) 536-2596
- **Practice address fax:** (903) 536-7609
- **Mailing address:** PO BOX 158, CENTERVILLE, TX 75833-0158
- **Mailing address phone:** (903) 536-2596
- **Mailing address fax:** (903) 536-7609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 110703 | TX | Yes |

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 08/22/2020