# VAN HEALTHCARE PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Van Healthcare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770894883
- **Authorized official:** MR. BURT ALLEN KING (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (903) 657-8969

## Contact information

- **Practice address:** 169 S OAK ST, VAN, TX 75790-3529
- **Practice address phone:** (903) 963-8641
- **Practice address fax:** (903) 963-5413
- **Mailing address:** 712 FAIR PARK DR, HENDERSON, TX 75654-3208
- **Mailing address phone:** (903) 657-8969
- **Mailing address fax:** (903) 657-8960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4671 | TX | Yes |

## Other

- **Enumeration date:** 06/24/2010
- **Last updated:** 08/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001018703 | — | TX |