Organization
WEST WHARTON COUNTY HOSPITAL DISTRICT
Active
Other names
Southern Specialty Rehab & Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MAK (CHIEF FINANCIAL OFFICER)
(979) 578-5250
Entity
Organization
Contact information
Practice address
4320 WEST 19TH STREET, LUBBOCK, TX 79407-2407
(806) 795-1774
(806) 771-3868
Mailing address
4150 INTERNATIONAL PLAZA, SUITE 600, FORT WORTH, TX 76109-4831
(817) 348-8959
(817) 348-0466
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001020268
—
TX
01
—
004235
FACILITY ID
TX
Enumeration date
02/17/2012
Last updated
02/25/2022
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