# J-S FREDERICKSBURG OPERATIONS LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windcrest Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083813497
- **Authorized official:** PAULA PIERCE (AUTHORIZED OFFICER)
- **Authorized official phone:** (972) 899-4401

## Contact information

- **Practice address:** 210 W WINDCREST ST, FREDERICKSBURG, TX 78624-4408
- **Practice address phone:** (830) 997-7422
- **Practice address fax:** (830) 997-0317
- **Mailing address:** 1500 WATERS RIDGE DR, STE. 200, LEWISVILLE, TX 75057-6011
- **Mailing address phone:** (972) 899-4401
- **Mailing address fax:** (972) 899-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 121338 | TX | Yes |

## Other

- **Enumeration date:** 07/16/2007
- **Last updated:** 02/10/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001015160 | — | TX |
| 01 | — | 190698601 | MCD CO B | TX |