Organization · Type 2 NPI

ST Johns Episcopal Retirement Corporation

Nursing Facility/Intermediate Care Facility · Odessa, TX

NPI number 1578554309 Active

Practice location

2443 W 16th St
Odessa, TX 79763-2701

Fax (432) 333-6454

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X110426 (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 1578554309

ST Johns Episcopal Retirement Corporation's National Provider Identifier is 1578554309, issued on Nov 1, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Odessa, TX. The record was last updated on Jan 20, 2017.