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Organization
CHILDRESS COUNTY HOSPITAL DISTRICT
Active
Organization
CHILDRESS COUNTY HOSPITAL DISTRICT
Active
Other names
Villa Haven Health and Rehabililitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY HOLCOMB (CEO)
(940) 937-6371
Entity
Organization
Contact information
Practice address
300 S JACKSON ST, BRECKENRIDGE, TX 76424-4804
(254) 559-3386
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015195
—
TX
Enumeration date
06/28/2007
Last updated
05/25/2021
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