Provider Demographics
NPI:1336396829
Name:KARNES CITY NURSING & REHAB CENTER LLC
Entity Type:Organization
Organization Name:KARNES CITY NURSING & REHAB CENTER LLC
Other - Org Name:KARNES CITY HEALTH AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:BURT
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-657-8969
Mailing Address - Street 1:712 FAIR PARK DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75654-3208
Mailing Address - Country:US
Mailing Address - Phone:903-657-8969
Mailing Address - Fax:903-657-8960
Practice Address - Street 1:209 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:KARNES CITY
Practice Address - State:TX
Practice Address - Zip Code:78118-3100
Practice Address - Country:US
Practice Address - Phone:830-780-4248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility