| NPI | 1710941075 |
|---|---|
| Doing Business As | PORT LAVACA NURSING AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | HEBER S. LACERDA President/CEO 361-576-0694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 455999) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 113221) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 4142560001) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2009-07-01 |