# MASON FRIENDSWOOD OP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Friendship Haven Healthcare and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225293855
- **Authorized official:** JOHN BALLARD JR. (ADMINISTRATOR)
- **Authorized official phone:** (281) 992-4300

## Contact information

- **Practice address:** 1500 SUNSET DR, FRIENDSWOOD, TX 77546-4724
- **Practice address phone:** (281) 992-4300
- **Practice address fax:** (281) 992-0964
- **Mailing address:** 1500 SUNSET DR, FRIENDSWOOD, TX 77546-4724
- **Mailing address phone:** (281) 992-4300
- **Mailing address fax:** (281) 992-0964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 132738 | TX | Yes |

## Other

- **Enumeration date:** 07/23/2008
- **Last updated:** 08/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001016220 | — | TX |
| 01 | — | 004286 | FACILITY ID | TX |