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Organization
MASON GEORGETOWN OP LLC
Active
Organization
MASON GEORGETOWN OP LLC
Active
Other names
Estrella Oaks Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R. THREADGILL (ADMINISTRATOR)
(512) 868-2700
Entity
Organization
Contact information
Practice address
4011 WILLIAMS DR, GEORGETOWN, TX 78628-2491
(512) 868-2700
(512) 868-2999
Mailing address
4011 WILLIAMS DR, GEORGETOWN, TX 78628-2491
(512) 868-2700
(512) 868-2999
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
134293
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019243
—
TX
01
—
104710
FACILITY ID
TX
Enumeration date
10/25/2010
Last updated
08/02/2012
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