Organization
EASTLAND MEMORIAL HOSPITAL DISTRICT
Active
Other names
Avir at Itasca
Organization subpart
No
Provider details
NPI number
Authorized official
LABAN JOSEPH WRIGHT (CEO)
(325) 754-1317
Entity
Organization
Contact information
Practice address
409 S FILES ST, ITASCA, TX 76055-2629
(817) 339-6177
(817) 339-6178
Mailing address
409 S FILES ST, ITASCA, TX 76055-2629
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
03/07/2025
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