- Enrollment id
- O20170817004374
- Enrollment state
- TX
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1841693793
- Multiple npi flag
- N
- Ccn
- 675096
- Associate id
- 3072412725
- Organization name
- EASTLAND MEMORIAL HOSPITAL DISTRICT
- Doing business as name
- AVIR AT HILLSBORO
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Nursing home provider name
- AVIR AT HILLSBORO
- Affiliation entity name
- AVIR HEALTH GROUP
- Affiliation entity id
- 719
- Address line 1
- 411 OLD BRANDON RD
- Address line 2
- AVIR AT HILLSBORO
- City
- HILLSBORO
- State
- TX
- Zip code
- 766450248