Organization
EASTLAND MEMORIAL HOSPITAL DISTRICT
Active
Other names
Matlock Place Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED D. MATTHEWS (ADMINISTRATOR)
(254) 631-5342
Entity
Organization
Contact information
Practice address
7100 MATLOCK RD, ARLINGTON, TX 76002-3402
(817) 466-2511
Mailing address
304 S DAUGHERTY AVE, P.O. BOX 897, EASTLAND, TX 76448-2609
(254) 631-5342
(254) 629-8929
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1014955
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5504
—
TX
01
—
67-6141
MEDICARE
TX
Enumeration date
06/05/2014
Last updated
06/05/2014
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