# HEALTHCARE AND REHAB OF KINGSTON, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healthcare and Rehab of Kingston
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588815203
- **Authorized official:** JEFFREY A HEAD (MANAGING DIRECTOR)
- **Authorized official phone:** (817) 992-2028

## Contact information

- **Practice address:** HC 71 BOX 83, KINGSTON, OK 73439-9701
- **Practice address phone:** (580) 564-2216
- **Mailing address:** 7429 AIRPORT FWY, RICHLAND HILLS, TX 76118-6955
- **Mailing address phone:** (817) 595-4411

## Taxonomy

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

## Other

- **Enumeration date:** 10/01/2008
- **Last updated:** 03/01/2010