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Independent Order Of Odd Fellows Grand Lodge 100f Of Texas
Nursing Facility/Intermediate Care Facility in Ennis, Texas
NPI 1598751166

Independent Order Of Odd Fellows Grand Lodge 100f Of Texas is a Nursing Facility/Intermediate Care Facility based in Ennis, TX. Independent Order Of Odd Fellows Grand Lodge 100f Of Texas practices in Ennis, TX. The NPI Number for Independent Order Of Odd Fellows Grand Lodge 100f Of Texas is 1598751166 and holds a License No. 114389 (Texas).

The current practice location address for Independent Order Of Odd Fellows Grand Lodge 100f Of Texas is 2300 S Oak Grove Rd, Ennis, TX and can be reached out via phone at 972-875-8643 and via fax at 972-875-1179.

Location: 2300 S Oak Grove Rd, Ennis, TX, 75119-6841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598751166
Provider Name
Independent Order Of Odd Fellows Grand Lodge 100f Of Texas
Credential
Provider Entity Type
Organization
Address
2300 S Oak Grove Rd, Ennis, TX, 75119-6841
Phone Number
972-875-8643
Fax Number
972-875-1179
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000456001 05 TX
190096101 05 TX
institution
Provider Business Practice Location Address Details
Address
2300 S Oak Grove Rd
City
Ennis
State
Texas
Zip
75119-6841
Phone Number
972-875-8643
Fax Number
972-875-1179
person
Provider Business Mailing Address Details
Address
2300 S Oak Grove Rd
City
Ennis
State
Texas
Zip
75119-6841
Phone Number
972-875-8643
Fax Number
972-875-1179
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
114389 (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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