Organization
HACKBERRY CREEK CARE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAB WASHINGTON (PRESIDENT, BOARD OF HACKBERRY CREEK)
(806) 347-2636
Entity
Organization
Contact information
Practice address
805 HARRISON AVE, MATADOR, TX 79244-2000
(806) 347-2942
(806) 347-2410
Mailing address
805 HARRISON AVE, P. O. BOX 651, MATADOR, TX 79244-2000
(806) 347-2942
(806) 347-2410
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
102868
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014974
—
TX
01
—
102868
TEXAS FACILITY ID NUMBER
TX
Enumeration date
11/30/2006
Last updated
12/02/2008
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