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Organization
LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
Active
Organization
LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
Active
Other names
Avir at Moody, Fairfield Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES BRUCE STRATTON (PRESIDENT)
(936) 336-7422
Entity
Organization
Contact information
Practice address
420 MOODY ST., FAIRFIELD, TX 75840-3036
(903) 389-1236
(903) 389-1241
Mailing address
420 MOODY ST, FAIRFIELD, TX 75840-3036
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
102704
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014428
—
TX
01
—
005486
VENDOR
TX
Enumeration date
06/14/2006
Last updated
08/21/2026
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