Organization
PPACTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN COX (OWNER/OPERATOR)
(903) 227-1570
Entity
Organization
Contact information
Practice address
712 COUNTY ROAD 4205, BONHAM, TX 75418
(903) 227-1570
Mailing address
712 COUNTY ROAD 4205, BONHAM, TX 75418-8902
(903) 227-1570
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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