# HEARTWAY III CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avalon Place-Wharton
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972581882
- **Authorized official:** MR. DAVID T. OBERGFELL (PRESIDENT, BOARD OF DIRECTORS)
- **Authorized official phone:** (214) 777-0282

## Contact information

- **Practice address:** 1405 VALHALLA DR, WHARTON, TX 77488-9218
- **Practice address phone:** (979) 532-1244
- **Practice address fax:** (979) 532-1142
- **Mailing address:** 1405 VALHALLA DR, WHARTON, TX 77488-9218
- **Mailing address phone:** (979) 532-1244
- **Mailing address fax:** (979) 532-1142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 112200 | TX | Yes |

## Other

- **Enumeration date:** 01/03/2006
- **Last updated:** 08/22/2020