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Organization

SLP DIBOLL LLC

Active
Other names
Diboll Nursing and Rehab
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD AGNEW (AUTHORIZED OFFICIAL)
(512) 565-6159
Entity
Organization

Contact information

Practice address
900 S TEMPLE DR, DIBOLL, TX 75941-2725
(936) 829-5501
(936) 829-5503
Mailing address
900 S TEMPLE DR, DIBOLL, TX 75941-2725
(936) 829-5501
(936) 829-5503

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
07/21/2020
Last updated
06/30/2025
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