Organization
CONCHO COUNTY HOSPITAL
Active
Other names
Kingsland Hills Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LADY (CEO)
(325) 869-5911
Entity
Organization
Contact information
Practice address
3727 W RANCH ROAD 1431, KINGSLAND, TX 78639-3244
(325) 388-4538
Mailing address
PO BOX 987, EDEN, TX 76837-0987
(325) 869-5911
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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