Basic Information
| Provider Information | |||||||||
| NPI: | 1316308463 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UVALDE COUNTY HOSPITAL AUTHORITY | ||||||||
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| OtherOrganizationName: | LLANO NURSING AND REHABILITATION CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1025 GARNER FIELD RD | ||||||||
| Address2: | |||||||||
| City: | UVALDE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 788014809 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8302786251 | ||||||||
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| Practice Location | |||||||||
| Address1: | 800 W HAYNIE ST | ||||||||
| Address2: | |||||||||
| City: | LLANO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786431905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3252474194 | ||||||||
| FaxNumber: | 3252473287 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2016 | ||||||||
| LastUpdateDate: | 03/15/2017 | ||||||||
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| AuthorizedOfficialLastName: | NORDWICK | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 8302786251 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | TX | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.