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Organization
NOCONA NURSING HOME INC
Active
Organization
NOCONA NURSING HOME INC
Active
Other names
Nocona Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE HALLSTED (MANAGER)
(832) 448-3700
Entity
Organization
Contact information
Practice address
306 CAROLYN RD, NOCONA, TX 76255-3105
(940) 825-3288
(940) 825-6153
Mailing address
306 CAROLYN RD, NOCONA, TX 76255-3105
(940) 825-3288
(940) 825-6153
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001000427
—
TX
01
—
144512402
MEDICAID TPI
TX
Enumeration date
06/21/2006
Last updated
07/28/2010
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