Organization
PHPM MISSION CARE CENTERS - NEW COVENANT
Active
Other names
Kingsland Hills Care 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
3727 W RANCH ROAD 1431, KINGSLAND, TX 78639-3244
(325) 388-4538
(325) 388-6894
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
113258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013030
—
TX
Enumeration date
11/16/2005
Last updated
04/06/2016
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