- Enrollment id
- O20231003002655
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1659052496
- Multiple npi flag
- N
- Ccn
- 676186
- Associate id
- 7517952047
- Organization name
- WEST WHARTON COUNTY HOSPITAL DISTRICT
- Doing business as name
- CASTRO COUNTY NURSING & REHABILITATION
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- CASTRO COUNTY NURSING & REHABILITATION
- Affiliation entity name
- GULF COAST LTC PARTNERS
- Affiliation entity id
- 243
- Address line 1
- 1621 BUTLER DR
- City
- DIMMITT
- State
- TX
- Zip code
- 790272701