Organization
NOCONA NURSING HOME INC
Active
Other names
Nocona Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAKE HALLSTED (MANAGER)
(832) 448-3700
Entity
Organization
Contact information
Practice address
306 CAROLYN RD, NOCONA, TX 76255-3105
(940) 825-3288
(940) 825-6153
Mailing address
306 CAROLYN RD, NOCONA, TX 76255-3105
(940) 825-3288
(940) 825-6153
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001000427
—
TX
01
—
144512402
MEDICAID TPI
TX
Enumeration date
06/21/2006
Last updated
07/28/2010
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