Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Other names
The Wesleyan at Scenic
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY WALLACE (CFO)
(830) 401-7220
Entity
Organization
Contact information
Practice address
2001 SCENIC DR, GEORGETOWN, TX 78626-7725
(512) 863-9511
Mailing address
2001 SCENIC DR, GEORGETOWN, TX 78626-7725
(512) 863-9511
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000423601
—
TX
01
—
675727
MEDICARE PROVIDER NUMBER
TX
Enumeration date
01/11/2016
Last updated
10/24/2023
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