Organization
DEWITT MEDICAL DISTRICT
Active
Other names
Windsor Nursing and Rehabilitation Center of Duval
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG PRITCHETT (CFO)
(361) 275-0504
Entity
Organization
Contact information
Practice address
5301 W DUVAL RD, AUSTIN, TX 78727-6618
(512) 345-1805
(512) 349-9146
Mailing address
5301 DUVAL RD, AUSTIN, TX 78727-6618
(512) 345-1805
(512) 349-9146
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
TX
314000000X
Skilled Nursing Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001017938
—
TX
05
—
001026704
—
TX
05
—
004970
—
TX
05
—
215708301
—
TX
05
—
4970
—
TX
Enumeration date
11/19/2009
Last updated
06/12/2015
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