# SOMERVELL COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Glen Rose Nursing and Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770812646
- **Authorized official:** MR. DAVID H. DENNIS (LNFA)
- **Authorized official phone:** (254) 897-1448

## Contact information

- **Practice address:** 1021 HOLDEN ST, GLEN ROSE, TX 76043-4937
- **Practice address phone:** (254) 897-1448
- **Practice address fax:** (254) 897-1486
- **Mailing address:** 1021 HOLDEN ST, GLEN ROSE, TX 76043-4937
- **Mailing address phone:** (254) 897-1448
- **Mailing address fax:** (254) 897-1486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 125688 | TX | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 12/23/2009
- **Last updated:** 01/20/2010