Provider Demographics
NPI:1154517043
Name:HOFMANN-MRAZ CARE HOME
Entity type:Organization
Organization Name:HOFMANN-MRAZ CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-583-8380
Mailing Address - Street 1:1405 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:BONHAM
Mailing Address - State:TX
Mailing Address - Zip Code:75418-2507
Mailing Address - Country:US
Mailing Address - Phone:903-583-8380
Mailing Address - Fax:903-583-5049
Practice Address - Street 1:1405 CEDAR ST
Practice Address - Street 2:
Practice Address - City:BONHAM
Practice Address - State:TX
Practice Address - Zip Code:75418-2507
Practice Address - Country:US
Practice Address - Phone:903-583-8380
Practice Address - Fax:903-583-5049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home