| NPI | 1275652604 |
|---|---|
| Doing Business As | MATLOCK PLACE HEALTH AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | RONALD M HANEY Partner 936-634-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-05-19 |