Edgewood Manor

LBN: City Of Ennis
Edgewood Manor is an health care organization with primary practice located at 4925 Elizabeth St , Texarkana TX 75503-2911. 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. City Of Ennis can be contacted via phone (903) 793-4645, or through Nelson, Marty W via phone (972) 875-1234.

Contact Information

Primary practice address
4925 Elizabeth St Texarkana TX 75503-2911
Phone: (903) 793-4645
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Marty W
Phone: (972) 875-1234

Health care specialties

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

Profile Details

NPI number 1154962074
LBN Legal business name City Of Ennis
DBA Doing business as Edgewood Manor
Authorized official Nelson, Marty W
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2019
Last updated Mar 3rd, 2022 - about 2 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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