Organization · Type 2 NPI

Kilgore Manor Inc

Nursing Facility/Intermediate Care Facility · Kilgore, TX

NPI number 1447246145 Active

Practice location

2700 S Henderson Blvd
Kilgore, TX 75662-4033

Fax (903) 983-1031

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X112798 (TX)

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 1447246145

Kilgore Manor Inc's National Provider Identifier is 1447246145, issued on Sep 27, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Kilgore, TX. The record was last updated on Aug 28, 2008.