Ltc of Austin County Iii, LLC

NPI #1306156328 in Bellville, Texas

Provider Information

NPI Number
1306156328
Entity Type
Organization
Organization Name
Ltc of Austin County Iii, LLC
Primary Specialty
Nursing Facility/Intermediate Care Facility
Enumeration Date
Oct 8, 2010
Last Updated
Oct 27, 2011

Practice Location

Address
1515 W MAIN ST
State
Texas
ZIP Code
77418-9737
Phone
(979) 865-3145

Authorized Official

Name
CELINA C SHARIFF
Title
MANAGER
Phone
(832) 651-3694

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility

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