Organization
HOUSE MEDICAL CONVALESCENT INC
Active
Other names
BELL HAVEN NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY MICHELLE SCULLARK (MEDICARE COORDINATOR)
(863) 646-5951
Entity
Organization
Contact information
Practice address
1002 MEDICAL DR, KILLEEN, TX 76543-3525
(254) 634-0374
(254) 634-4679
Mailing address
1002 MEDICAL DR, KILLEEN, TX 76543-3525
(254) 634-0374
(254) 634-4679
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117665
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0473640001
—
TX
Enumeration date
07/09/2006
Last updated
08/22/2020
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