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Organization
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Active
Organization
NACOGDOCHES COUNTY HOSPITAL DISTRICT
Active
Other names
Heritage House of Marshall Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD R PAYNE (MANAGER)
(469) 916-6100
Entity
Organization
Contact information
Practice address
5915 ELYSIAN FIELDS ROAD, MARSHALL, TX 75672-2083
(903) 935-6700
(903) 935-6702
Mailing address
1204 N MOUND ST, NACOGDOCHES, TX 75961-4027
(936) 568-8523
(936) 568-8588
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103421
—
TX
Enumeration date
11/14/2007
Last updated
02/08/2022
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