Organization
JACK COUNTY HOSPITAL DISTRICT
Active
Other names
Homestead Nursing and Rehabilitation of Collinsville
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN JONES (FISCAL SERVICES DIRECTOR)
(940) 216-2262
Entity
Organization
Contact information
Practice address
501 N MAIN ST, COLLINSVILLE, TX 76233-5106
(903) 429-6426
(903) 429-6240
Mailing address
215 CHISHOLM TRL, JACKSBORO, TX 76458-1403
(940) 567-6633
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67-5206
—
TX
Enumeration date
10/06/2014
Last updated
03/17/2018
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