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Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
The Waterton Healthcare and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (AUTHORIZED REPRESENTATIVE)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2875 SHILOH RD, TYLER, TX 75703-2936
(903) 561-1300
(903) 939-1754
Mailing address
2875 SHILOH RD, TYLER, TX 75703-2936
(903) 561-1300
(903) 939-1754
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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