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Organization

CHAMBERS COUNTY PUBLIC HOSPITAL DISTRICT NO 1

Active
Other names
Country Village Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT PASCASIO (CEO)
(409) 267-3143
Entity
Organization

Contact information

Practice address
721 W MULBERRY, ANGLETON, TX 77515-4239
(979) 849-8281
(979) 849-0249
Mailing address
721 W MULBERRY ST, ANGLETON, TX 77515-4239
(979) 849-8281
(979) 849-0249

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
115157
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
021482702
MEDICAID
TX
Enumeration date
03/22/2006
Last updated
04/29/2026
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