Organization
PINE HILL NURSING AND REHABILITATION LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A RICH (PRESIDENT)
(940) 387-4388
Entity
Organization
Contact information
Practice address
1307 MARTIN LUTHER KING DR, JEFFERSON, TX 75657-1009
(903) 665-3951
(903) 665-7230
Mailing address
401 N ELM ST, DENTON, TX 76201-4137
(940) 387-4388
(940) 380-2410
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114787
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004238
—
TX
01
—
153325901
TMHP DME CROSS OVER
TX
01
—
153385101
TMHP CROSS OVER
TX
Enumeration date
09/27/2005
Last updated
07/24/2008
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