Mshc Bonner Street Plaza LLC
Skilled Nursing Facility in Jacksonville, TX. Organization (NPI-2).
NPI number1386936664
StatusActive
Last updated in NPPESJul 12, 2011
Details
- NPI
- 1386936664
- Entity type
- Organization (NPI-2)
- Legal business name
- Mshc Bonner Street Plaza LLC
- Organization subpart
- No
- Enumeration date
- May 5, 2011
- Last updated
- Jul 12, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 129146 | TX | Yes |
Practice location
421 S Bonner StJacksonville, TX 75766-2330
Phone 903-586-9871
Mailing address
421 Bonner StreetJacksonville, TX 75766-2330
Phone 903-586-9871
Authorized official
Carla Power
Cfo
9037920838
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