Organization
HILLSIDE NURSING AND REHABILITATION LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. RICH (PRESIDENT)
(940) 387-4388
Entity
Organization
Contact information
Practice address
101 S 34TH ST, GATESVILLE, TX 76528-2667
(254) 865-8275
(254) 865-6344
Mailing address
401 N ELM ST, DENTON, TX 76201-4137
(940) 387-4388
(940) 380-2410
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
115886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004431
—
TX
01
—
155915501
TMHP DME CROSS-OVER
TX
01
—
155915502
TMHP CROSS-OVER
TX
Enumeration date
09/27/2005
Last updated
07/23/2008
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