# VERNON HEALTHCARE PROVIDERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vernon Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770870123
- **Authorized official:** RAYMOND WATT (MANAGING MEMBER)
- **Authorized official phone:** (731) 267-2861

## Contact information

- **Practice address:** 4301 HOSPITAL DR, VERNON, TX 76384-3135
- **Practice address phone:** (940) 552-2568
- **Practice address fax:** (940) 552-6256
- **Mailing address:** 4301 HOSPITAL DR, VERNON, TX 76384-3135
- **Mailing address phone:** (940) 552-2568
- **Mailing address fax:** (940) 552-6256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 561710000 | TX | Yes |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 668850000 | TX | — |

## Other

- **Enumeration date:** 07/06/2011
- **Last updated:** 07/06/2011