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Organization
MASON DESSAU OP LLC
Active
Organization
MASON DESSAU OP LLC
Active
Other names
Cedar View Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL A. CLARK (ADMINISTRATOR)
(512) 873-2244
Entity
Organization
Contact information
Practice address
11020 DESSAU ROAD, AUSTIN, TX 78754-2053
(512) 873-2244
(512) 873-2249
Mailing address
11020 DESSAU RD, AUSTIN, TX 78754-2053
(512) 873-2244
(512) 873-2249
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
135482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104003
FACILITY ID
TX
Enumeration date
06/01/2009
Last updated
11/30/2012
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