# CORSICANA HEALTH CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Meadows Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417119116
- **Authorized official:** HERBERT HOUSER (PRESIDENT)
- **Authorized official phone:** (903) 872-2455

## Contact information

- **Practice address:** 3301 W PARK ROW BLVD, CORSICANA, TX 75110-4846
- **Practice address phone:** (903) 872-2455
- **Practice address fax:** (903) 874-7286
- **Mailing address:** 920 RIDGEBROOK RD, SPARKS, MD 21152-9390
- **Mailing address phone:** (410) 773-1000

## Taxonomy

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

## Other

- **Enumeration date:** 06/25/2008
- **Last updated:** 09/14/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001016199 | — | TX |