Organization · Type 2 NPI

Park Place Tyler Hc, LLC

Nursing Facility/Intermediate Care Facility · Tyler, TX

NPI number 1184954828 Active

Practice location

2450 E 5th St
Tyler, TX 75701-3525

Fax (903) 592-1088

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000XNone listed

Nursing Facility/Intermediate Care Facility: 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 conditi…

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About NPI 1184954828

Park Place Tyler Hc, LLC's National Provider Identifier is 1184954828, issued on Dec 31, 2009. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Tyler, TX. The record was last updated on Dec 31, 2009.