# MOUNT MORIAH HEALTH AND REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518305952
- **Authorized official:** MR. MICHAEL G. WALLACE (PRESIDENT)
- **Authorized official phone:** (940) 387-4388

## Contact information

- **Practice address:** 355 FM 83 WEST, HEMPHILL, TX 75948-8300
- **Practice address phone:** (409) 787-5300
- **Practice address fax:** (409) 787-5398
- **Mailing address:** 401 NORTH ELM STREET, DENTON, TX 76201
- **Mailing address phone:** (940) 387-4388
- **Mailing address fax:** (940) 380-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 140842 | TX | Yes |

## Other

- **Enumeration date:** 06/07/2013
- **Last updated:** 03/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001021281 | — | TX |