# RIO AT FOX HOLLOW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275992638
- **Authorized official:** MR. KURT DULLNIG (VP OPERATIONS)
- **Authorized official phone:** (210) 504-4309

## Contact information

- **Practice address:** 310 AMERICA DRIVE, BROWNSVILLE, TX 78526
- **Practice address phone:** (210) 757-4987
- **Practice address fax:** (210) 757-4987
- **Mailing address:** 1020 WILLIAM WAY NW, CLEVELAND, TN 37312-4369
- **Mailing address phone:** (423) 388-4614

## Taxonomy

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

## Other

- **Enumeration date:** 02/15/2016
- **Last updated:** 09/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001027609 | — | TX |
| 01 | — | 145090 | STATE LICENSE | — |
