# SLP DIBOLL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diboll Nursing and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942818489
- **Authorized official:** RICHARD AGNEW (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (512) 565-6159

## Contact information

- **Practice address:** 900 S TEMPLE DR, DIBOLL, TX 75941-2725
- **Practice address phone:** (936) 829-5501
- **Practice address fax:** (936) 829-5503
- **Mailing address:** 900 S TEMPLE DR, DIBOLL, TX 75941-2725
- **Mailing address phone:** (936) 829-5501
- **Mailing address fax:** (936) 829-5503

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2020
- **Last updated:** 06/30/2025