# ROCKWALL REHAB HOSPITALS, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bella Vista
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710120662
- **Authorized official:** JACQUELINE GRANDEAU (VP REVENUE CYCLE OPERATIONS)
- **Authorized official phone:** (972) 479-1380

## Contact information

- **Practice address:** 2301 MARSH LN, PLANO, TX 75093-8497
- **Practice address phone:** (972) 479-1380
- **Practice address fax:** (972) 479-1381
- **Mailing address:** 2301 MARSH LN, PLANO, TX 75093-8497
- **Mailing address phone:** (972) 479-1380
- **Mailing address fax:** (972) 479-1381

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2009
- **Last updated:** 04/24/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 676159 | MEDICARE PROVIDER NUMBER | TX |