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Park Place Tyler Hc, Llc
Nursing Facility/Intermediate Care Facility in Tyler, Texas
NPI 1184954828

Park Place Tyler Hc, Llc is a Nursing Facility/Intermediate Care Facility based in Tyler, TX. Park Place Tyler Hc, Llc practices in Tyler, TX. The NPI Number for Park Place Tyler Hc, Llc is 1184954828 and holds a License No. (Texas).

The current practice location address for Park Place Tyler Hc, Llc is 2450 E 5Th St, Tyler, TX and can be reached out via phone at 903-592-6745 and via fax at 903-592-1088.

Location: 2450 E 5Th St, Tyler, TX, 75701-3525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184954828
Provider Name
Park Place Tyler Hc, Llc
Credential
Provider Entity Type
Organization
Address
2450 E 5Th St, Tyler, TX, 75701-3525
Phone Number
903-592-6745
Fax Number
903-592-1088
Provider Enumeration Date
12/31/2009
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
001012142 05 TX
5390 05 TX
institution
Provider Business Practice Location Address Details
Address
2450 E 5Th St
City
Tyler
State
Texas
Zip
75701-3525
Phone Number
903-592-6745
Fax Number
903-592-1088
person
Provider Business Mailing Address Details
Address
2450 E 5Th St
City
Tyler
State
Texas
Zip
75701-3525
Phone Number
903-592-6745
Fax Number
903-592-1088
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
(Texas)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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