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Organization
NATIONAL NURSING & REHAB HOUSTON, LLC
Active
Organization
NATIONAL NURSING & REHAB HOUSTON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE D WALLACE (CEO)
(210) 822-0475
Entity
Organization
Contact information
Practice address
16100 CAIRNWAY DR, SUITE 300, HOUSTON, TX 77084-3562
(281) 858-1660
(281) 858-8797
Mailing address
85 NE LOOP 410, SUITE 500, SAN ANTONIO, TX 78216-5866
(210) 822-0475
(210) 822-0581
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PEND
TX
251J00000X
Nursing Care Agency
016721
TX
253Z00000X
In Home Supportive Care Agency
016721
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016721
DADS LICENSE NUMBER
TX
05
—
351900101
—
TX
Enumeration date
07/24/2014
Last updated
03/06/2017
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