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Organization

MCCULLOCH COUNTY HOSPITAL DISTRICT

Active
Other names
PECAN VALLEY HEALTHCARE RESIDENCE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY S JONES (CEO)
(325) 597-2901
Entity
Organization

Contact information

Practice address
1405 W STOREY ST, SAN SABA, TX 76877-6422
(325) 372-5112
(325) 372-5114
Mailing address
1405 W STOREY ST, SAN SABA, TX 76877-6422
(325) 372-5112
(325) 372-5114

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004476
TX
Enumeration date
11/18/2014
Last updated
12/31/2014
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