Organization · Type 2 NPI

Liberty County Hospital District No 1

Skilled Nursing Facility · Houston, TX

NPI number 1003276437 Active

Practice location

12921 Misty Willow Dr
Houston, TX 77070-5287

Fax (281) 469-2169

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (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 r…

5 other providers at this address

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NPI record

NPI: 1003276437
Entity type: Organization (Type 2)
Issued: Feb 26, 2016
Last updated: Mar 1, 2021
Status: Active

Other names

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Misty Willow Healthcare and Rehabilitation Center · doing business as
Misty Willow Healthcare and Rehabilitation Center · doing business as

Authorized official

Soon Burnam
Treasurer of Management Company
(949) 540-1249

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003276437

Liberty County Hospital District No 1's National Provider Identifier is 1003276437, issued on Feb 26, 2016. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Houston, TX. The record was last updated on Mar 1, 2021.