CCN: 675715 NPI: 1407252448 Organization

PECAN VALLEY HEALTHCARE RESIDENCE

1405 W STOREY ST
SAN SABA, TX 768776422

Contact Information

Phone 3253725112
Fax 3253725114
Enumeration Date 2014-11-18
Last Updated 2014-12-31

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