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Devine Convalescent Care Center Inc
Nursing Facility/Intermediate Care Facility in Devine, Texas
NPI 1689660417

Devine Convalescent Care Center Inc is a Nursing Facility/Intermediate Care Facility based in Devine, TX. Devine Convalescent Care Center Inc practices in Devine, TX. The NPI Number for Devine Convalescent Care Center Inc is 1689660417 and holds a License No. 112767 (Texas).

The current practice location address for Devine Convalescent Care Center Inc is 104 Enterprise Ave, Devine, TX and can be reached out via phone at 830-663-4451. You can also correspond with Devine Convalescent Care Center Inc through the mailing address at 104 ENTERPRISE AVE, DEVINE, TX - 78016-1807 (mailing address contact number: 830-663-4451).

Location: 104 Enterprise Ave, Devine, TX, 78016-1807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689660417
Provider Name
Devine Convalescent Care Center Inc
Credential
Provider Entity Type
Organization
Address
104 Enterprise Ave, Devine, TX, 78016-1807
Phone Number
830-663-4451
Fax Number
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1767741-01 01 TX TEXAS MEDICAID B
001012206 05 TX
HH027S 01 TX BLUE CROSS BLUE SHIELD TX
institution
Provider Business Practice Location Address Details
Address
104 Enterprise Ave
City
Devine
State
Texas
Zip
78016-1807
Phone Number
830-663-4451
Fax Number
person
Provider Business Mailing Address Details
Address
104 Enterprise Ave
City
Devine
State
Texas
Zip
78016-1807
Phone Number
830-663-4451
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
112767 (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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