Organization
LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
Active
Other names
Vidor Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BRUCE STRATTON (PRESIDENT)
(936) 336-7422
Entity
Organization
Contact information
Practice address
470 MOORE DR., VIDOR, TX 77662-3843
(409) 769-2454
(409) 769-9324
Mailing address
4150 INTERNATIONAL PLAZA, SUITE 600, FORT WORTH, TX 76109-4831
(817) 348-8959
(817) 348-0466
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001017743
—
TX
01
—
005100
FACILITY ID
TX
Enumeration date
09/03/2009
Last updated
02/10/2022
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