# HEALTHCARE CENTER OF HENDERSON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwood Nursing & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891792834
- **Authorized official:** MR. JAMES HOFFMAN CPA (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (361) 576-9454

## Contact information

- **Practice address:** 200 SOUTHWOOD DR, HENDERSON, TX 75654-3257
- **Practice address phone:** (903) 657-6506
- **Practice address fax:** (903) 655-8578
- **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 | 110773 | TX | Yes |

## Other

- **Enumeration date:** 07/06/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4894720001 | DMERC PROVIDER \# | TX |
| 01 | — | 4912 | VENDOR NUMBER | TX |