PH
PROVIDER HEALTHCARE SERVICES OF CONCHO LP
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
EDEN, TX
Licensed since
2005
Rate
—
Federal identifiers
NPI registry number1710989595
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameIRVIN STRECKERT
TitleADMINISTRATOR
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