| Organization Name: | PHCC-BANDERA REHABILITATION AND HEALTH CARE CENTER, LLC |
| NPI Number: | 1881916344 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES A. MEYERS (MANAGER) |
| Mailing Address: | 222 Fm 1077 Bandera |
| State: | TX US |
| Postal Code: | 780034765 |
| Phone Number: | 8307964077 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2010 |
| NPI Last Update Date: | 02/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | PENDING |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |