CCN: 455517 NPI: 1316354954 Organization

GARDENDALE REHABILITATION AND NURSING CENTER

1521 E RUSK ST
JACKSONVILLE, TX 757665505

Contact Information

Phone 9035863626
Fax 9035862133
Enumeration Date 2014-07-15
Last Updated 2014-07-15

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 45

providerType 38

vbpAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 45

providerType 38

specialPaymentIndicator

carrierCode 04412

localityCode 99