902 E Main St Opco LLC
NPI #1417845207 in San Augustine, Texas
Provider Information
- NPI Number
- 1417845207
- Entity Type
- Organization
- Organization Name
- 902 E Main St Opco LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 27, 2025
- Last Updated
- Jun 27, 2025
Practice Location
- Address
- 902 E MAIN ST
- City
- San Augustine
- State
- Texas
- ZIP Code
- 75972-2316
- Phone
- (936) 275-2055
Authorized Official
- Name
- NOCHUM FREUND
- Title
- MANAGER
- Phone
- (732) 719-5098
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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