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Organization

INTEGRATED HEALTH SERVICES AT HANOVER HOUSE INC

Active
Other names
Mountain View Healthcare Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRIAN REYNOLDS (CEO)
(410) 513-8738
Entity
Organization

Contact information

Practice address
1600 MURCHISON DR, EL PASO, TX 79902-2828
(915) 544-2002
(915) 544-0696
Mailing address
1600 MURCHISON DR, EL PASO, TX 79902-2828
(915) 544-2002
(915) 544-0696

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
134366
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004791
TX
05
1000665
TX
Enumeration date
07/21/2005
Last updated
07/16/2014
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