Organization
BAYTOWN SCC LLC
Active
Other names
Baytown Nursing & Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
3921 N MAIN ST, BAYTOWN, TX 77521-3307
(281) 422-9541
(281) 422-7408
Mailing address
600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
(214) 252-7600
(214) 252-7704
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026560
—
TX
01
—
5409 100001
VENDOR ID/FACILITY ID
TX
Enumeration date
12/29/2014
Last updated
03/03/2020
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