Organization
CORSICANA HEALTH CARE LLC
Active
Other names
Country Meadows Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT HOUSER (PRESIDENT)
(903) 872-2455
Entity
Organization
Contact information
Practice address
3301 W PARK ROW BLVD, CORSICANA, TX 75110-4846
(903) 872-2455
(903) 874-7286
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016199
—
TX
Enumeration date
06/25/2008
Last updated
09/14/2011
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