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Shady Oak Nursing And Rehabilitation, Llc
Skilled Nursing Facility in Moulton, Texas
NPI 1780681643

Shady Oak Nursing And Rehabilitation, Llc is a Skilled Nursing Facility based in Victoria, TX. Shady Oak Nursing And Rehabilitation, Llc practices in Moulton, TX. The NPI Number for Shady Oak Nursing And Rehabilitation, Llc is 1780681643 and holds a License No. 111107 (Texas).

The current practice location address for Shady Oak Nursing And Rehabilitation, Llc is 101 South Lancaster, Moulton, TX and can be reached out via phone at 361-596-7373 and via fax at 361-596-7671.

Location: 101 South Lancaster, Moulton, TX, 77903-7230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780681643
Provider Name
Shady Oak Nursing And Rehabilitation, Llc
Credential
Provider Entity Type
Organization
Address
101 South Lancaster, Moulton, TX, 77903-7230
Phone Number
361-596-7373
Fax Number
361-596-7671
Provider Enumeration Date
07/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001012451 05 TX
171961901 05 TX
171961902 05 TX
4627 05 TX
institution
Provider Business Practice Location Address Details
Address
101 South Lancaster
City
Moulton
State
Texas
Zip
77975-0120
Phone Number
361-596-7373
Fax Number
361-596-7671
person
Provider Business Mailing Address Details
Address
101 South Lancaster
City
Moulton
State
Texas
Zip
77975-0120
Phone Number
361-596-7373
Fax Number
361-596-7671
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
111107 (Texas)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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