Organization
HOPKINS COUNTY HOSPITAL DISTRICT
Active
Other names
Providence Park Rehabilitation and Skilled Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCANDREW (CEO)
(903) 439-4952
Entity
Organization
Contact information
Practice address
5505 NEW COPELAND RD, TYLER, TX 75703-3955
(903) 939-2443
(903) 939-2479
Mailing address
115 AIRPORT RD, SULPHUR SPRINGS, TX 75482-2105
(903) 439-4952
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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