Organization
COUNTRY MEADOWS HEALTH AND REHABILITATION LLC
Active
Other names
Country Meadows Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN K. REYNOLDS (MANAGER, AUTHORIZED OFFICIAL)
(410) 513-8738
Entity
Organization
Contact information
Practice address
3301 W PARK ROW BLVD, CORSICANA, TX 75110-4846
(903) 872-2455
(903) 874-7286
Mailing address
3301 W PARK ROW BLVD, CORSICANA, TX 75110-4846
(903) 872-2455
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001030458
—
TX
05
—
4977
—
TX
Enumeration date
01/29/2019
Last updated
09/10/2024
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