Wisteria Place Nursing & Rehabilitation Center

LBN: Texada, Inc
Wisteria Place Nursing & Rehabilitation Center is an health care organization with primary practice located at 3202 S Willis St , Abilene TX 79605-6650. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Texada, Inc can be contacted via phone (325) 692-6145, or through Davis, Carroll Bruce via phone (325) 692-6145.

Contact Information

Primary practice address
3202 S Willis St Abilene TX 79605-6650
Phone: (325) 692-6145
Fax: (325) 692-6145
Website:
Map and Directions
Authorized official contact:
Name: Davis, Carroll Bruce PHD
Phone: (325) 692-6145

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 127499 Texas

Profile Details

NPI number 1528296662
LBN Legal business name Texada, Inc
DBA Doing business as Wisteria Place Nursing & Rehabilitation Center
Authorized official Davis, Carroll Bruce PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2009
Last updated Sep 4th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528296662 NPPES
Texas MEDICAID 001017200

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