Organization
REGENCY NURSING CENTER PARTNERS OF WHARTON, LTD
Active
Other names
WHARTON NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEBER S. LACERDA (PRES/CEO)
(361) 576-0694
Entity
Organization
Contact information
Practice address
1220 SUNNY LN, WHARTON, TX 77488-3300
(979) 532-5020
(979) 532-8853
Mailing address
1220 SUNNY LN, WHARTON, TX 77488-3300
(979) 532-5020
(979) 532-8853
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
118478
TX
314000000X
Skilled Nursing Facility
Primary
675361
TX
332B00000X
Durable Medical Equipment & Medical Supplies
5806140001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014451
—
TX
05
—
143533101
—
TX
05
—
185963901
—
TX
05
—
4115
—
TX
Enumeration date
08/05/2006
Last updated
06/21/2018
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