Provider Demographics
NPI:1245580588
Name:RALLS NH OPERATIONS LTD
Entity type:Organization
Organization Name:RALLS NH OPERATIONS LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-744-0566
Mailing Address - Street 1:3502 9TH STREET
Mailing Address - Street 2:SUITE 170
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79415
Mailing Address - Country:US
Mailing Address - Phone:806-744-0566
Mailing Address - Fax:
Practice Address - Street 1:1111 AVENUE P
Practice Address - Street 2:
Practice Address - City:RALLS
Practice Address - State:TX
Practice Address - Zip Code:79357-3502
Practice Address - Country:US
Practice Address - Phone:806-253-2314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2012-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX675407Medicare Oscar/Certification