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Organization
MATHIS HEALTH CARE CENTER LTD. CO
Active
Organization
MATHIS HEALTH CARE CENTER LTD. CO
Active
Other names
Palma Real
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN UNDERHILL (CHIEF EXECUTIVE)
(214) 954-4114
Entity
Organization
Contact information
Practice address
1220 LOOP 459, MATHIS, TX 78368-1804
(361) 547-3318
(361) 547-3737
Mailing address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(214) 954-4114
(214) 871-3057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
108260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004232
—
TX
05
—
159101801
—
TX
Enumeration date
09/22/2005
Last updated
06/11/2013
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