Organization
HSMTX/REUNION PLAZA, LLC
Active
Other names
REUNION PLAZA SENIOR CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A DAVIS (VP FINANCE)
(713) 934-7800
Entity
Organization
Contact information
Practice address
1401 RICE RD, TYLER, TX 75703-3233
(903) 561-6060
(903) 534-8045
Mailing address
5300 HOLLISTER ST, SUITE 550, HOUSTON, TX 77040-6137
(713) 934-7800
(713) 895-0064
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001017768
—
TX
Enumeration date
12/28/2006
Last updated
12/28/2009
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