- Enrollment id
- O20251006001745
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1679039531
- Multiple npi flag
- N
- Ccn
- 676295
- Associate id
- 9032103700
- Organization name
- SOUTH LIMESTONE HOSPITAL DISTRICT
- Doing business as name
- AVIR AT CORSICANA
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- AVIR AT CORSICANA
- Affiliation entity name
- AVIR HEALTH GROUP
- Affiliation entity id
- 719
- Address line 1
- 3210 W HIGHWAY 22
- City
- CORSICANA
- State
- TX
- Zip code
- 751102449