Organization
ELGIN GOLDEN YEARS NURSING AND REHABILITATION CENTER, INC
Active
Other names
Elgin Golden Years Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
HEBER S LACERDA (PRESIDENT/CEO)
(361) 576-0694
Entity
Organization
Contact information
Practice address
605 HWY 290, ELGIN, TX 78621-2510
(512) 281-3413
(512) 281-3016
Mailing address
605 HWY 290, ELGIN, TX 78621-2510
(512) 281-3413
(512) 281-3016
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
115129
TX
314000000X
Skilled Nursing Facility
Primary
675725
TX
332B00000X
Durable Medical Equipment & Medical Supplies
1225160001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
445301
—
TX
01
—
HH037S
BCBS BLUE LINK
TX
Enumeration date
04/19/2006
Last updated
04/20/2008
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