Organization Name: | BURKE CENTER |
NPI Number: | 1083764112 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DORTHEY SINGLETON (ACCOUNTING CLERK) |
Mailing Address: | 2712 Se Stallings Dr Nacogdoches |
State: | TX US |
Postal Code: | 759617442 |
Phone Number: | 9365643147 |
Fax Number: | 9366395837 |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Intermediate Care Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |