# ADVANCED LIVING TECHNOLOGIES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Victoria Nursing and Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194949685
- **Authorized official:** MR. PAUL GRAY (PRESIDENT)
- **Authorized official phone:** (512) 345-0700

## Contact information

- **Practice address:** 114 MEDICAL DR, VICTORIA, TX 77904-3101
- **Practice address phone:** (361) 576-6128
- **Practice address fax:** (361) 576-6563
- **Mailing address:** 10415 MORADO CIR, BUILDING 3 SUITE 120, AUSTIN, TX 78759-5696
- **Mailing address phone:** (512) 345-0700
- **Mailing address fax:** (888) 368-3534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 117220 | TX | Yes |

## Other

- **Enumeration date:** 04/13/2007
- **Last updated:** 10/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000520902 | — | TX |