Organization
DENVER CITY REHAB & CARE
Active
Parent organization
MERIDIAN LTC, LTD
Other names
Meridian LTC, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERIDIAN LTC, LTD
Authorized official
MR. DONNALD AARON JEWELL ADMINISTRATOR (SECRETARY/TREASURER)
(806) 224-8948
Entity
Organization
Contact information
Practice address
315 MUSTANG DR, DENVER CITY, TX 79323-3036
(806) 592-2127
Mailing address
315 N. MUSTANG DRIVE, DENVER CITY, TX 79323-3036
(806) 592-2127
(806) 592-5468
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001018813
—
TX
01
—
1992010904
NPI
TX
Enumeration date
02/02/2011
Last updated
02/02/2011
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