Shady Oak Nursing and Rehabilitation, LLC

NPI #1780681643 in Moulton, Texas

Provider Information

NPI Number
1780681643
Entity Type
Organization
Organization Name
Shady Oak Nursing and Rehabilitation, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 6, 2005
Last Updated
Nov 5, 2010

Practice Location

Address
101 SOUTH LANCASTER
State
Texas
ZIP Code
77975-0120
Phone
(361) 596-7373

Authorized Official

Name
MR. BYRON M BURRIS II, LNFA
Title
PRESIDENT
Phone
(361) 576-9454

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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