Organization
MATHIS HEALTH CARE CENTER LTD. CO
Active
Other names
Palma Real
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN UNDERHILL (CHIEF EXECUTIVE)
(214) 954-4114
Entity
Organization
Contact information
Practice address
1220 LOOP 459, MATHIS, TX 78368-1804
(361) 547-3318
(361) 547-3737
Mailing address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(214) 954-4114
(214) 871-3057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
108260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004232
—
TX
05
—
159101801
—
TX
Enumeration date
09/22/2005
Last updated
06/11/2013
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