Organization
SSC BEAUMONT GREEN ACRES OPERATING COMPANY LLC
Active
Other names
Pine Forest Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS P. SIMONS (SENIOR VP OPERATIONS FINANCE)
(770) 829-5100
Entity
Organization
Contact information
Practice address
11025 OLD VOTH RD, BEAUMONT, TX 77713-8613
(409) 892-9722
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117815
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013497
—
TX
Enumeration date
04/03/2007
Last updated
09/23/2013
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