Organization
EDEN ESSENTIAL PRACTICES LLC
Active
Other names
Concho Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND WATT (OPERATING MANAGER)
(731) 267-2861
Entity
Organization
Contact information
Practice address
102 W CATES ST, BRIDGEPORT, TX 76426-2709
(940) 683-5181
(940) 683-5183
Mailing address
102 W CATES ST, BRIDGEPORT, TX 76426-2709
(940) 683-5181
(940) 683-5183
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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