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Organization
SWEENY HOSPITAL DISTRICT
Active
Organization
SWEENY HOSPITAL DISTRICT
Active
Other names
Village Creek Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PARK (CHIEF EXECUTIVE OFFICER)
(979) 548-1598
Entity
Organization
Contact information
Practice address
705 N MAIN ST, LUMBERTON, TX 77657-7356
(409) 755-0100
(409) 755-4200
Mailing address
705 N MAIN ST, LUMBERTON, TX 77657-7356
(409) 755-0100
(409) 755-4200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013853
—
TX
Enumeration date
04/27/2006
Last updated
02/12/2021
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