Organization
SWEENY HOSPITAL DISTRICT
Active
Other names
Village Creek Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PARK (CHIEF EXECUTIVE OFFICER)
(979) 548-1598
Entity
Organization
Contact information
Practice address
705 N MAIN ST, LUMBERTON, TX 77657-7356
(409) 755-0100
(409) 755-4200
Mailing address
705 N MAIN ST, LUMBERTON, TX 77657-7356
(409) 755-0100
(409) 755-4200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013853
—
TX
Enumeration date
04/27/2006
Last updated
02/12/2021
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