Organization · Type 2 NPI

Shady Oak Nursing and Rehabilitation, LLC

Skilled Nursing Facility · Moulton, TX

NPI number 1780681643 Active

Practice location

101 South Lancaster
Moulton, TX 77975-0120

Fax (361) 596-7671

Mailing address

PO Box 7230
Victoria, TX 77903-7230

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X111107 (TX)

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 1780681643

Shady Oak Nursing and Rehabilitation, LLC's National Provider Identifier is 1780681643, issued on Jul 6, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Moulton, TX. The record was last updated on Nov 5, 2010.