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Organization
HOUSE MEDICAL CONVALESCENT INC
Active
Organization
HOUSE MEDICAL CONVALESCENT INC
Active
Other names
BELL HAVEN NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY MICHELLE SCULLARK (MEDICARE COORDINATOR)
(863) 646-5951
Entity
Organization
Contact information
Practice address
1002 MEDICAL DR, KILLEEN, TX 76543-3525
(254) 634-0374
(254) 634-4679
Mailing address
1002 MEDICAL DR, KILLEEN, TX 76543-3525
(254) 634-0374
(254) 634-4679
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473640001
—
TX
Enumeration date
07/09/2006
Last updated
08/22/2020
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