Organization
MCCULLOCH COUNTY HOSPITAL DISTRICT
Active
Other names
Sagecrest Alzheimer's Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB K DAVIS (CFO)
(325) 792-3990
Entity
Organization
Contact information
Practice address
438 E HOUSTON HARTE EXPY, SAN ANGELO, TX 76903-4089
(325) 655-7391
(325) 653-1413
Mailing address
438 E HOUSTON HARTE EXPY, SAN ANGELO, TX 76903-4089
(325) 655-7391
(325) 653-1413
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005414
TDH CONNECT
TX
Enumeration date
07/05/2006
Last updated
08/26/2022
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