# BROWNSVILLE LONG TERM CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ebony Lake Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285920215
- **Authorized official:** MELANIE HENRY (PRESIDENT)
- **Authorized official phone:** (956) 541-0917

## Contact information

- **Practice address:** 1001 CENTRAL BLVD, BROWNSVILLE, TX 78520-7533
- **Practice address phone:** (956) 541-0917
- **Mailing address:** 920 RIDGEBROOK RD, SPARKS, MD 21152-9390
- **Mailing address phone:** (410) 773-1000

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2011
- **Last updated:** 06/28/2011