Charleston Waco Operations LLC
NPI #1669800371 in Waco, Texas
Provider Information
- NPI Number
- 1669800371
- Entity Type
- Organization
- Organization Name
- Charleston Waco Operations LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 16, 2013
- Last Updated
- Dec 11, 2013
Practice Location
Authorized Official
- Name
- KENDALL A BROUSSARD
- Title
- MANAGING MEMBER
- Phone
- (337) 439-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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