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Organization

MOUNT MORIAH HEALTH AND REHABILITATION, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL G. WALLACE (PRESIDENT)
(940) 387-4388
Entity
Organization

Contact information

Practice address
355 FM 83 WEST, HEMPHILL, TX 75948-8300
(409) 787-5300
(409) 787-5398
Mailing address
401 NORTH ELM STREET, DENTON, TX 76201
(940) 387-4388
(940) 380-2410

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
140842
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001021281
TX
Enumeration date
06/07/2013
Last updated
03/05/2015
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