Organization
CARE CENTER LUMBERTON, LTD
Active
Other names
Lumberton Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HOFFMAN CPA (EXECUTIVE VICE PRESIDENT)
(361) 576-9454
Entity
Organization
Contact information
Practice address
705 N MAIN ST, LUMBERTON, TX 77657-7356
(409) 755-0100
(409) 755-4200
Mailing address
PO BOX 7230, VICTORIA, TX 77903-7230
(361) 576-9454
(361) 576-2994
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4808760001
DMERC PROVIDER #
TX
01
—
5291
VENDOR NUMBER
TX
Enumeration date
07/05/2005
Last updated
08/22/2020
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