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Organization
ROCKWALL REHAB HOSPITALS, LTD
Active
Organization
ROCKWALL REHAB HOSPITALS, LTD
Active
Other names
Bella Vista
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE GRANDEAU (VP REVENUE CYCLE OPERATIONS)
(972) 479-1380
Entity
Organization
Contact information
Practice address
2301 MARSH LN, PLANO, TX 75093-8497
(972) 479-1380
(972) 479-1381
Mailing address
2301 MARSH LN, PLANO, TX 75093-8497
(972) 479-1380
(972) 479-1381
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
676159
MEDICARE PROVIDER NUMBER
TX
Enumeration date
04/08/2009
Last updated
04/24/2009
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