Organization
VAN HEALTHCARE PARTNERS LLC
Active
Other names
Van Healthcare LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BURT ALLEN KING (CHIEF OPERATING OFFICER)
(903) 657-8969
Entity
Organization
Contact information
Practice address
169 S OAK ST, VAN, TX 75790-3529
(903) 963-8641
(903) 963-5413
Mailing address
712 FAIR PARK DR, HENDERSON, TX 75654-3208
(903) 657-8969
(903) 657-8960
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4671
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001018703
—
TX
Enumeration date
06/24/2010
Last updated
08/18/2016
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