# MATAGORDA NURSING AND REHABILITATION CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841297850
- **Authorized official:** MR. PHILLIP HOPKINS LNFA (PRESIDENT)
- **Authorized official phone:** (361) 576-9454

## Contact information

- **Practice address:** 4521 AVENUE F, BAY CITY, TX 77414-8011
- **Practice address phone:** (979) 245-7369
- **Practice address fax:** (979) 245-3440
- **Mailing address:** PO BOX 7230, VICTORIA, TX 77903-7230
- **Mailing address phone:** (361) 576-9454
- **Mailing address fax:** (361) 576-2994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 109311 | TX | Yes |

## Other

- **Enumeration date:** 07/05/2005
- **Last updated:** 09/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001003303 | — | TX |
| 05 | — | 150060501 | — | TX |
| 05 | — | 5336 | — | TX |