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Organization

MATAGORDA NURSING AND REHABILITATION CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PHILLIP HOPKINS LNFA (PRESIDENT)
(361) 576-9454
Entity
Organization

Contact information

Practice address
4521 AVENUE F, BAY CITY, TX 77414-8011
(979) 245-7369
(979) 245-3440
Mailing address
PO BOX 7230, VICTORIA, TX 77903-7230
(361) 576-9454
(361) 576-2994

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
109311
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001003303
TX
05
150060501
TX
05
5336
TX
Enumeration date
07/05/2005
Last updated
09/18/2009
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