Organization
HEARTWAY III CORPORATION
Active
Other names
Avalon Place-Trinity
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID T. OBERGFELL (PRESIDENT-BOARD OF DIRECTORS)
(214) 777-0282
Entity
Organization
Contact information
Practice address
808 S ROBB ST, TRINITY, TX 75862-7602
(936) 594-7521
(936) 594-3430
Mailing address
808 S ROBB ST, TRINITY, TX 75862-7602
(936) 594-7521
(936) 594-3430
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
101709
TX
Other
Enumeration date
01/03/2006
Last updated
08/22/2020
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