Basic Information
| Provider Information | |||||||||
| NPI: | 1225213986 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MURPHY HEALTHCARE III, LLC | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
| MiddleName: | |||||||||
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| OtherOrganizationName: | FRANKSTON HEALTHCARE CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
| OtherLastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 303 MURCHISON ST | ||||||||
| Address2: | |||||||||
| City: | FRANKSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 757639721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9038763208 | ||||||||
| FaxNumber: | 9038763388 | ||||||||
| Practice Location | |||||||||
| Address1: | 303 MURCHISON ST | ||||||||
| Address2: | |||||||||
| City: | FRANKSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 757639721 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9038763208 | ||||||||
| FaxNumber: | 9038763388 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/31/2007 | ||||||||
| LastUpdateDate: | 01/03/2008 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | MURPHY | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9032364574 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | PENDING | TX | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.