Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
Ennis Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK SANDERSON (PRESIDENT)
(903) 583-1854
Entity
Organization
Contact information
Practice address
1200 S HALL ST, ENNIS, TX 75119-6318
(972) 875-9051
Mailing address
504 LIPSCOMB ST, BONHAM, TX 75418-4028
(903) 583-8585
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029295
—
TX
Enumeration date
06/28/2017
Last updated
07/17/2020
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