# MARSHALL MANOR NURSING HOME AND REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARSHALL SENIOR CARE L L C
- **Other names:** Marshall Manor Nursing and Rehab Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1902936354
- **Legal business name:** MARSHALL SENIOR CARE L L C
- **Authorized official:** MS. LINDA K BENSON-CHAMBERS RN, (ADMINISTRATOR)
- **Authorized official phone:** (903) 935-7971

## Contact information

- **Practice address:** 1007 S WASHINGTON AVE, MARSHALL, TX 75670-5333
- **Practice address phone:** (903) 935-7971
- **Practice address fax:** (903) 935-1908
- **Mailing address:** 1007 S WASHINGTON AVE, MARSHALL, TX 75670-5333
- **Mailing address phone:** (903) 935-7971
- **Mailing address fax:** (903) 935-1908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 120459 | TX | — |
| 314000000X | Skilled Nursing Facility | 120459 | TX | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | 120459 | TX | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 120459 | TX | — |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 07/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001004571 | — | TX |