# EASTLAND MEMORIAL HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wisteria Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417259490
- **Authorized official:** MS. SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 3202 S WILLIS ST, ABILENE, TX 79605-6650
- **Practice address phone:** (325) 692-6145
- **Practice address fax:** (325) 695-2629
- **Mailing address:** 304 S DAUGHERTY AVE, EASTLAND, TX 76448-2609
- **Mailing address phone:** (940) 626-1287
- **Mailing address fax:** (325) 695-2629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | TX | — |
| 314000000X | Skilled Nursing Facility | — | TX | Yes |

## Other

- **Enumeration date:** 11/24/2010
- **Last updated:** 03/01/2021