Organization
WALNUT HILLS NURSING AND REHABILITATION, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICK STEBBINS CPA (PRESIDENT)
(903) 757-5360
Entity
Organization
Contact information
Practice address
3509 ROGGE LN, AUSTIN, TX 78723-3640
(512) 926-2070
(512) 926-9570
Mailing address
600 E WHALEY ST, LONGVIEW, TX 75601-6525
(903) 757-5360
(903) 753-8621
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111191
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000457003
—
TX
05
—
001020119
—
TX
05
—
094544601
—
TX
05
—
094544602
—
TX
05
—
HO6754599
—
TX
05
—
ZO5162245
—
TX
Enumeration date
10/11/2005
Last updated
09/13/2012
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