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Organization

HEARTWAY III CORPORATION

Active
Other names
Avalon Place - Kirbyville
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID T. OBERGFELL (PRESIDENT-BOARD OF DIRECTORS)
(214) 777-0282
Entity
Organization

Contact information

Practice address
700 N HERNDON AVE, KIRBYVILLE, TX 75956-1518
(409) 423-6111
(409) 423-5807
Mailing address
700 N HERNDON AVE, KIRBYVILLE, TX 75956-1518
(409) 423-6111
(409) 423-5807

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
112142
TX

Other

Enumeration date
12/30/2005
Last updated
08/22/2020
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