NPI 1104994144
Hackberry Creek Care Center, INC
Practice location
- Address
- 805 Harrison Ave, Matador, TX 79244-2000
- Phone
- (806) 347-2942
- Fax
- (806) 347-2410
- Mailing address
- 805 Harrison Ave P. O. Box 651, Matador, TX 79244-2000
Authorised official
- Name
- Seab Washington
- Title
- President, Board of Hackberry Creek
- Phone
- (806) 347-2636
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1104994144
- Entity type
- Organization
- NPI issued
- 30 Nov 2006
- Record last updated
- 2 Dec 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.