Organization
DEWITT MEDICAL DISTRICT
Active
Other names
STOCKDALE RESIDENCE AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
GREG PRITCHETT (CFO)
(361) 275-0504
Entity
Organization
Contact information
Practice address
300 W SALMON ST, STOCKDALE, TX 78160-5907
(830) 996-3721
(830) 996-3355
Mailing address
300 W SALMON ST, STOCKDALE, TX 78160-5907
(830) 996-3721
(830) 996-3355
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004277
—
TX
Enumeration date
08/21/2014
Last updated
08/21/2014
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