Organization
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Other names
Rockdale Residence and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID K BYROM (CEO)
(254) 248-6204
Entity
Organization
Contact information
Practice address
222 S FM 487, ROCKDALE, TX 76567-5047
(512) 446-5893
(512) 446-6785
Mailing address
222 S FM 487, ROCKDALE, TX 76567-5047
(512) 446-5893
(512) 446-6785
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000496303
—
TX
05
—
004963
—
TX
Enumeration date
12/16/2013
Last updated
12/17/2013
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