# SAN SABA SNF LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eventide Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093093882
- **Authorized official:** MICHAEL BUMPASS (MEMBER)
- **Authorized official phone:** (254) 399-6788

## Contact information

- **Practice address:** 1405 W STOREY ST, SAN SABA, TX 76877-6422
- **Practice address phone:** (325) 372-5112
- **Practice address fax:** (325) 372-5114
- **Mailing address:** 200 W HWY 6, SUITE 612, WACO, TX 76712-3984
- **Mailing address phone:** (254) 399-6788
- **Mailing address fax:** (254) 399-6766

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2011
- **Last updated:** 11/21/2011