Organization
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Other names
The Manor Healthcare Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BYROM (CEO)
(254) 248-6301
Entity
Organization
Contact information
Practice address
831 TEHUACANA HIGHWAY, MEXIA, TX 76667
(254) 562-3867
(254) 729-3475
Mailing address
PO BOX 7300, GLEN ROSE, TX 76043
(254) 269-0069
(254) 269-0070
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004746
—
TX
Enumeration date
07/16/2014
Last updated
02/18/2026
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