Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Other names
Park Place Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY WALLACE (CFO)
(830) 379-2411
Entity
Organization
Contact information
Practice address
121 FM 971, GEORGETOWN, TX 78626-4546
(512) 868-6200
Mailing address
1215 E. COURT STREET, SEGUIN, TX 78155
(830) 379-2411
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001028617
—
TX
Enumeration date
03/18/2015
Last updated
02/20/2020
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