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Organization
VAN HEALTHCARE PARTNERS LLC
Active
Organization
VAN HEALTHCARE PARTNERS LLC
Active
Other names
Van Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BURT ALLEN KING (CHIEF OPERATING OFFICER)
(903) 657-8969
Entity
Organization
Contact information
Practice address
169 S OAK ST, VAN, TX 75790-3529
(903) 963-8641
(903) 963-5413
Mailing address
712 FAIR PARK DR, HENDERSON, TX 75654-3208
(903) 657-8969
(903) 657-8960
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001018703
—
TX
Enumeration date
06/24/2010
Last updated
08/18/2016
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