# PECAN VALLEY NURSING AND REHAB CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pecan Valley Nursing and Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477801934
- **Authorized official:** MR. DUDLEY BUMPASS (SECRETARY)
- **Authorized official phone:** (254) 716-3614

## Contact information

- **Practice address:** 1405 W STOREY ST, SAN SABA, TX 76877-6422
- **Practice address phone:** (325) 372-5112
- **Practice address fax:** (325) 372-5114
- **Mailing address:** 403 E COMMERCE ST, FAIRFIELD, TX 75840-1603
- **Mailing address phone:** (903) 389-1009
- **Mailing address fax:** (903) 389-1090

## Taxonomy

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

## Other

- **Enumeration date:** 08/15/2012
- **Last updated:** 01/18/2013