# TYLER COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Magnolia Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659769420
- **Authorized official:** SANDRA WILLIAMS (CEO)
- **Authorized official phone:** (409) 283-8141

## Contact information

- **Practice address:** 4400 GULF AVE, GROVES, TX 77619-3717
- **Practice address phone:** (409) 962-5785
- **Mailing address:** 1100 W BLUFF ST, WOODVILLE, TX 75979-4738

## Taxonomy

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

## Other

- **Enumeration date:** 01/02/2015
- **Last updated:** 08/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 45-5538 | MEDICARE CCN | TX |