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Organization
THREE RIVERS NURSING HOME, LLC
Active
Organization
THREE RIVERS NURSING HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD L VIDRINE (OWNER)
(361) 786-2256
Entity
Organization
Contact information
Practice address
1717 45TH ST., THREE RIVERS, TX 78071-2649
(361) 786-2256
(361) 786-2456
Mailing address
1717 45TH ST., THREE RIVERS, TX 78071-2649
(361) 786-2256
(361) 786-2456
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
112944
TX
314000000X
Skilled Nursing Facility
131278
TX
314000000X
Skilled Nursing Facility
Primary
136010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012235
—
TX
Enumeration date
10/12/2006
Last updated
06/19/2013
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