# TROUSDALE FOUNDATION OF DEPORT, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Deport Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477645679
- **Authorized official:** MR. KENNETH B. ROSS (SECRETARY)
- **Authorized official phone:** (812) 422-7774

## Contact information

- **Practice address:** 126 US HIGHWAY 271 S, DEPORT, TX 75435-2534
- **Practice address phone:** (903) 652-4410
- **Practice address fax:** (903) 652-2138
- **Mailing address:** 126 US HIGHWAY 271 S, DEPORT, TX 75435-2534
- **Mailing address phone:** (903) 652-4410
- **Mailing address fax:** (903) 652-2138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 115747 | TX | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 08/22/2020