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Organization
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Organization
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Other names
Gardendale Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID K BYROM (CEO)
(254) 248-6300
Entity
Organization
Contact information
Practice address
1521 E RUSK ST, JACKSONVILLE, TX 75766-5505
(903) 586-3626
(903) 586-2133
Mailing address
1521 E RUSK ST, JACKSONVILLE, TX 75766-5505
(903) 586-3626
(903) 586-2133
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004986
—
TX
Enumeration date
07/15/2014
Last updated
07/15/2014
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