Magnolia Manor

LBN: Tyler County Hospital District
Magnolia Manor is an health care organization with primary practice located at 4400 Gulf Ave , Groves TX 77619-3717. 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. Tyler County Hospital District can be contacted via phone (409) 962-5785, or through Wright, Sandra via phone (409) 283-8141.

Contact Information

Primary practice address
4400 Gulf Ave Groves TX 77619-3717
Phone: (409) 962-5785
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wright, Sandra
Phone: (409) 283-8141

Health care specialties

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

Profile Details

NPI number 1659769420
LBN Legal business name Tyler County Hospital District
DBA Doing business as Magnolia Manor
Authorized official Wright, Sandra
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2015
Last updated Aug 26th, 2015 - about 9 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 1659769420 NPPES
Texas Other 45-5538 MEDICARE CCN

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