Organization
GOODALL-WITCHER HOSPITAL AUTHORITY
Active
Other names
Goodall-Witcher Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WILLMANN (PRESIDENT/CEO)
(254) 675-8322
Entity
Organization
Contact information
Practice address
101 S AVENUE T, CLIFTON, TX 76634-1832
(254) 675-8322
(254) 675-2246
Mailing address
PO BOX 549, CLIFTON, TX 76634-0549
(254) 675-8322
(254) 675-2246
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
005355
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45F411
—
TX
Enumeration date
07/20/2006
Last updated
12/03/2012
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