Organization
HOPKINS COUNTY HOSPITAL DISTRICT
Active
Other names
Petal Hill Nursing and Rehabilitation Center, The Clairmont Tyler
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE RUTHERFORD (CEO/CFO)
(903) 438-4566
Entity
Organization
Contact information
Practice address
900 S BAXTER AVE, TYLER, TX 75701-2209
(903) 597-8192
(903) 597-8213
Mailing address
900 S BAXTER AVE, TYLER, TX 75701-2209
(903) 597-8192
(903) 597-8213
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025945
—
TX
Enumeration date
06/22/2006
Last updated
10/22/2021
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