Charleston Boerne Operations, LLC

NPI #1295146546 in Boerne, Texas

Provider Information

NPI Number
1295146546
Entity Type
Organization
Organization Name
Charleston Boerne Operations, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 8, 2014
Last Updated
May 9, 2014

Practice Location

Address
200 RYAN ST
City
Boerne
State
Texas
ZIP Code
78006-2046
Phone
(830) 249-2594

Authorized Official

Name
KENDALL A BROUSSARD
Title
MANAGING MEMBER
Phone
(337) 439-6600

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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