Salem Housing Corporation

NPI #1962435149 in Jasper, Texas

Provider Information

NPI Number
1962435149
Entity Type
Organization
Organization Name
Salem Housing Corporation
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 9, 2006
Last Updated
May 20, 2010

Practice Location

Address
315 W GIBSON ST
City
Jasper
State
Texas
ZIP Code
75951-4903
Phone
(409) 384-5768

Authorized Official

Name
DOUGLAS K. MITTLEIDER
Title
PRESIDENT OF MGMT CO
Phone
(770) 619-0866

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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