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Organization
MOUNT MORIAH HEALTH AND REHABILITATION, LLC
Active
Organization
MOUNT MORIAH HEALTH AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL G. WALLACE (PRESIDENT)
(940) 387-4388
Entity
Organization
Contact information
Practice address
355 FM 83 WEST, HEMPHILL, TX 75948-8300
(409) 787-5300
(409) 787-5398
Mailing address
401 NORTH ELM STREET, DENTON, TX 76201
(940) 387-4388
(940) 380-2410
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001021281
—
TX
Enumeration date
06/07/2013
Last updated
03/05/2015
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