# GAZEBO TERRACE SKILLED CARE AND REHABILITATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gazebo Terrace Skilled Care & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194163030
- **Authorized official:** MS. NANCY M JARNAGIN (OWNER)
- **Authorized official phone:** (979) 830-7100

## Contact information

- **Practice address:** 1303 HIGHWAY 290 E, BRENHAM, TX 77833-5928
- **Practice address phone:** (979) 830-7100
- **Practice address fax:** (979) 830-0820
- **Mailing address:** 1303 HWY 290 EAST, BRENHAM, TX 77833
- **Mailing address phone:** (979) 830-7100
- **Mailing address fax:** (979) 830-0820

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2013
- **Last updated:** 03/22/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001025532 | — | TX |