Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
The Waterton Healthcare and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (AUTHORIZED REPRESENTATIVE)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2875 SHILOH RD, TYLER, TX 75703-2936
(903) 561-1300
(903) 939-1754
Mailing address
2875 SHILOH RD, TYLER, TX 75703-2936
(903) 561-1300
(903) 939-1754
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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