# REBECCA ANN INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village on the Creek Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154380699
- **Authorized official:** MR. PAUL HEINIG (PRESIDENT)
- **Authorized official phone:** (979) 297-0425

## Contact information

- **Practice address:** 914 N BRAZOSPORT BLVD, CLUTE, TX 77531-3720
- **Practice address phone:** (979) 265-4794
- **Practice address fax:** (979) 265-4898
- **Mailing address:** 914 N BRAZOSPORT BLVD, CLUTE, TX 77531-3720
- **Mailing address phone:** (979) 265-4794
- **Mailing address fax:** (979) 265-4898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 110076 | TX | Yes |

## Other

- **Enumeration date:** 03/22/2006
- **Last updated:** 10/26/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000466306 | — | TX |