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Organization
RISING STAR SNF LLC
Active
Organization
RISING STAR SNF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BUMPASS (MEMBER)
(254) 399-6788
Entity
Organization
Contact information
Practice address
411 S MILLER ST, RISING STAR, TX 76471-5214
(254) 643-6700
(254) 643-1723
Mailing address
200 W HWY 6, SUITE 612, WACO, TX 76712-3984
(254) 399-6788
(254) 399-6766
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
11/22/2011
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