Organization · Type 2 NPI

East Texas Azalea Operating Company LLC

Skilled Nursing Facility · Tyler, TX

NPI number 1770928434 Active

Practice location

810 S Porter Ave
Tyler, TX 75701-2300

Call (903) 593-2463 Map

Fax (903) 597-1203

Mailing address

1901 Rickety Ln, Suite 208
Tyler, TX 75703-1702

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…

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About NPI 1770928434

East Texas Azalea Operating Company LLC's National Provider Identifier is 1770928434, issued on May 7, 2013. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Tyler, TX. The record was last updated on Aug 6, 2013.