Organization
FAIRVIEW NURSING AND REHABILITATION LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. RICH (PRESIDENT)
(940) 387-4388
Entity
Organization
Contact information
Practice address
1601 KENNEDY STREET, BONHAM, TX 75418-2568
(903) 583-2148
(903) 583-5871
Mailing address
401 N ELM ST, DENTON, TX 76201-4137
(940) 387-4388
(940) 380-2410
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
121629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004352
—
TX
01
—
155171501
TMHP (CROSSOVER)
TX
01
—
155171502
TMHP (DME CROSSOVER)
TX
Enumeration date
09/30/2005
Last updated
07/24/2008
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