OrganizationActive
Country Inn Healthcare
NPI 1811985617 · Skilled Nursing Facility · Van, TX
Provider details
- NPI number
- 1811985617
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Wyvonne Pitts, Administrator(903) 963-8646
- License
- 4299 (TX)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1085 E Main St
Van, TX 75790-2949
Phone: (903) 963-8646
Approximate (ZIP-level) locationGet directions
Mailing address
1085 E Main St
Van, TX 75790-2949
Registry dates
- Enumerated
- 2005-10-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.