Provider Demographics
NPI:1477659548
Name:SOUTHWEST NURSING AND REHAB, LP
Entity Type:Organization
Organization Name:SOUTHWEST NURSING AND REHAB, LP
Other - Org Name:REHAB AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCARDLE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:903-753-8600
Mailing Address - Street 1:905 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-5435
Mailing Address - Country:US
Mailing Address - Phone:903-753-8600
Mailing Address - Fax:903-753-8698
Practice Address - Street 1:905 N 4TH ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5435
Practice Address - Country:US
Practice Address - Phone:903-753-8600
Practice Address - Fax:903-753-8698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008506251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health