- Enrollment id
- O20251028002178
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1346904281
- Multiple npi flag
- N
- Ccn
- 676093
- Associate id
- 6002054764
- Organization name
- FANNIN COUNTY HOSPITAL AUTHORITY
- Doing business as name
- ROCKDALE ESTATES & REHABILITATION
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- ROCKDALE ESTATES & REHABILITATION
- Affiliation entity name
- FANNIN COUNTY HOSPITAL DISTRICT
- Affiliation entity id
- 842
- Address line 1
- 1350 W US HIGHWAY 79
- City
- ROCKDALE
- State
- TX
- Zip code
- 765675335