Organization
SLP HEARNE LLC
Active
Other names
Hearne Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA LEONARD (CFO)
(817) 410-7300
Entity
Organization
Contact information
Practice address
1101 W BROWN ST, HEARNE, TX 77859-3064
(979) 279-5361
(979) 279-2457
Mailing address
1300 S UNIVERSITY DR, SUITE 306, FORT WORTH, TX 76107-5737
(817) 410-7300
(817) 423-6270
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
116404
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004722
FACILITY ID NO.
TX
Enumeration date
05/18/2006
Last updated
03/14/2017
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