Organization
ROCKWALL REHAB HOSPITALS, LTD
Active
Other names
Bella Vista
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE GRANDEAU (VP REVENUE CYCLE OPERATIONS)
(972) 479-1380
Entity
Organization
Contact information
Practice address
2301 MARSH LN, PLANO, TX 75093-8497
(972) 479-1380
(972) 479-1381
Mailing address
2301 MARSH LN, PLANO, TX 75093-8497
(972) 479-1380
(972) 479-1381
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
676159
MEDICARE PROVIDER NUMBER
TX
Enumeration date
04/08/2009
Last updated
04/24/2009
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