STATE OF TEXAS VETERANS LAND BOARD
Assisted Living Facility
Big Spring, Texas
Provider NPI: 1447250725
Organization Information:Organization Name: STATE OF TEXAS VETERANS LAND BOARD
Practice Location:
1809 N HIGHWAY 87 BIG SPRING, TX 79720 US
Tel: 512-268-8387 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1809 N HIGHWAY 87 BIG SPRING, TX 79720 US
Tel: 512-268-8387 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | TX | 67-5874 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | 100429 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
001003133 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin