Organization
SAN SABA SNF LLC
Active
Other names
Eventide Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BUMPASS (MEMBER)
(254) 399-6788
Entity
Organization
Contact information
Practice address
1405 W STOREY ST, SAN SABA, TX 76877-6422
(325) 372-5112
(325) 372-5114
Mailing address
200 W HWY 6, SUITE 612, WACO, TX 76712-3984
(254) 399-6788
(254) 399-6766
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
11/21/2011
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