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Organization
HAMILTON COUNTY HOSPITAL DISTRICT
Active
Organization
HAMILTON COUNTY HOSPITAL DISTRICT
Active
Other names
The Eden of Las Colinas
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2101 WEST NORTHGATE DR., IRVING, TX 75062-2637
(972) 255-4460
(972) 252-1036
Mailing address
2101 W NORTHGATE DR, IRVING, TX 75062-2650
(972) 255-4460
(972) 258-8084
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
110791
TX
314000000X
Skilled Nursing Facility
130536
TX
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004663
—
TX
01
—
159891401
MEDICAID CO B
TX
Enumeration date
09/08/2005
Last updated
09/29/2022
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