Organization
YOAKUM HEALTHCARE CORPORATION
Active
Other names
YOAKUM NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEBER S. LACERDA (PRESIDENT CEO)
(361) 576-0694
Entity
Organization
Contact information
Practice address
1300 CARL RAMERT DR, YOAKUM, TX 77995-4869
(361) 293-2801
(361) 293-7751
Mailing address
1300 CARL RAMERT DR, YOAKUM, TX 77995-4869
(361) 293-2801
(361) 293-7751
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
115213
TX
314000000X
Skilled Nursing Facility
Primary
675736
TX
332B00000X
Durable Medical Equipment & Medical Supplies
1225160001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000536501
—
TX
05
—
198032801
—
TX
05
—
536501
—
TX
01
—
HH046S
BCBS BLUELINK
TX
Enumeration date
04/13/2006
Last updated
07/01/2009
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