Fannin County Hospital Authority
Skilled Nursing Facility in Tyler, TX. Organization (NPI-2).
NPI number1679225296
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1679225296
- Entity type
- Organization (NPI-2)
- Legal business name
- Fannin County Hospital Authority
- Organization subpart
- No
- Enumeration date
- Jan 25, 2022
- Certification date
- Jan 25, 2022
- Last updated
- Jan 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- The Waterton Healthcare And Rehabilitation (Doing Business As)
Practice location
2875 Shiloh RdTyler, TX 75703-2936
Phone 903-561-1300 · Fax 903-939-1754
Mailing address
2875 Shiloh RdTyler, TX 75703-2936
Phone 903-561-1300 · Fax 903-939-1754
Authorized official
Soon Burnam
Authorized Representative
9495401249
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