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Organization
DEWITT MEDICAL DISTRICT
Active
Organization
DEWITT MEDICAL DISTRICT
Active
Other names
Diversicare of Luling, Hillcrest Manor Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ALMA ALEXANDER (AUTHORIZED REPRESENTATIVE)
(361) 275-0504
Entity
Organization
Contact information
Practice address
208 MAPLE STREET, LULING, TX 78648
(830) 875-5219
(830) 875-2919
Mailing address
4150 INTERNATIONAL PLZ STE 200, FORT WORTH, TX 76109-4875
(817) 386-8410
(817) 348-0466
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
115095
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001030462
—
TX
Enumeration date
06/16/2006
Last updated
06/17/2026
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