# GUADALUPE COUNTY HOSPITAL BOARD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Place Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578956355
- **Authorized official:** PENNY WALLACE (CFO)
- **Authorized official phone:** (830) 379-2411

## Contact information

- **Practice address:** 121 FM 971, GEORGETOWN, TX 78626-4546
- **Practice address phone:** (512) 868-6200
- **Mailing address:** 1215 E. COURT STREET, SEGUIN, TX 78155
- **Mailing address phone:** (830) 379-2411

## Taxonomy

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

## Other

- **Enumeration date:** 03/18/2015
- **Last updated:** 02/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001028617 | — | TX |