# CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rockdale Residence and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578984787
- **Authorized official:** MR. DAVID K BYROM (CEO)
- **Authorized official phone:** (254) 248-6204

## Contact information

- **Practice address:** 222 S FM 487, ROCKDALE, TX 76567-5047
- **Practice address phone:** (512) 446-5893
- **Practice address fax:** (512) 446-6785
- **Mailing address:** 222 S FM 487, ROCKDALE, TX 76567-5047
- **Mailing address phone:** (512) 446-5893
- **Mailing address fax:** (512) 446-6785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 117722 | TX | Yes |

## Other

- **Enumeration date:** 12/16/2013
- **Last updated:** 12/17/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000496303 | — | TX |
| 05 | — | 004963 | — | TX |