Organization
LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
Active
Other names
Greenbrier Nursing & Rehabilitation Center of Tyler
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BRUCE STRATTON (PRESIDENT)
(936) 336-7422
Entity
Organization
Contact information
Practice address
3526 W. ERWIN ST., TYLER, TX 75702-6519
(903) 593-6441
(903) 531-2303
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
—
001014992
—
TX
05
—
005081
—
TX
Enumeration date
01/31/2007
Last updated
01/27/2022
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