# MITCHELL COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** KRISTI LEE MANOR
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770989535
- **Authorized official:** MR. ROBBIE DEWBERRY (CEO)
- **Authorized official phone:** (325) 728-3431

## Contact information

- **Practice address:** 1941 CHESTNUT ST, COLORADO CITY, TX 79512-3015
- **Practice address phone:** (325) 728-5247
- **Practice address fax:** (325) 728-2611
- **Mailing address:** 1941 CHESTNUT ST, COLORADO CITY, TX 79512-3015
- **Mailing address phone:** (325) 728-5247
- **Mailing address fax:** (325) 728-2611

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2014
- **Last updated:** 11/06/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004934 | — | TX |