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Organization

PHPM MISSION CARE CENTERS - NEW COVENANT, LP

Active
Other names
Stevens Healthcare & Rehab Center
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JAMIE LATTURE COLLIER (DIRECTOR OF REIMBURSEMENT)
(972) 931-3800
Entity
Organization

Contact information

Practice address
204 WALTER ST, YOAKUM, TX 77995-1720
(361) 293-3544
(361) 293-7885
Mailing address
5420 W PLANO PKWY, PLANO, TX 75093-4823
(972) 931-3800
(972) 767-6222

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113267
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001012954
TX
Enumeration date
11/17/2005
Last updated
07/11/2016
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