# COLLINSVILLE LONG TERM CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homestead Nursing and Rehabilitation of Collinsville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922202357
- **Authorized official:** MR. DAVID LAIN BYERS (MANAGER)
- **Authorized official phone:** (210) 316-7790

## Contact information

- **Practice address:** 501 N MAIN ST, COLLINSVILLE, TX 76233-5106
- **Practice address phone:** (903) 429-6426
- **Mailing address:** 526 TEXAS PT, SAN ANTONIO, TX 78258-7738
- **Mailing address phone:** (210) 316-7790

## Taxonomy

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

## Other

- **Enumeration date:** 06/11/2007
- **Last updated:** 07/12/2007