Organization
MINERAL WELLS 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
316 SW 25TH AVE, MINERAL WELLS, TX 76067-8244
(940) 325-1358
(940) 325-5802
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
132569
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004088
—
TX
01
—
021457901
TMHP (CROSS-OVER)
TX
Enumeration date
11/04/2005
Last updated
03/06/2012
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