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Organization

SOUTH LIMESTONE HOSPITAL DISTRICT

Active
Other names
Garnet Hill Rehabilitation and Skilled Care
Organization subpart
No

Provider details

NPI number
Authorized official
LARRY N PRICE (AUTHORIZED OFFICER)
(254) 729-2689
Entity
Organization

Contact information

Practice address
1420 MCCREARY RD, WYLIE, TX 75098-8776
(972) 442-6776
(972) 442-6011
Mailing address
1500 WATERS RIDGE DR, STE 200, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4460

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
124862
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001025400
TX
01
199711601
TPI MEDICAID CO B
TX
Enumeration date
03/17/2008
Last updated
01/12/2015
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