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Organization
ADVANCED LIVING TECHNOLOGIES INC
Active
Organization
ADVANCED LIVING TECHNOLOGIES INC
Active
Other names
Victoria Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL GRAY (PRESIDENT)
(512) 345-0700
Entity
Organization
Contact information
Practice address
114 MEDICAL DR, VICTORIA, TX 77904-3101
(361) 576-6128
(361) 576-6563
Mailing address
10415 MORADO CIR, BUILDING 3 SUITE 120, AUSTIN, TX 78759-5696
(512) 345-0700
(888) 368-3534
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000520902
—
TX
Enumeration date
04/13/2007
Last updated
10/16/2012
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