Organization
HEALTHCARE CENTER OF HENDERSON
Active
Other names
Southwood Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES HOFFMAN CPA (EXECUTIVE VICE PRESIDENT)
(361) 576-9454
Entity
Organization
Contact information
Practice address
200 SOUTHWOOD DR, HENDERSON, TX 75654-3257
(903) 657-6506
(903) 655-8578
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
110773
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4894720001
DMERC PROVIDER #
TX
01
—
4912
VENDOR NUMBER
TX
Enumeration date
07/06/2005
Last updated
08/22/2020
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