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Organization
LTC OF AUSTIN COUNTY III, LLC
Active
Organization
LTC OF AUSTIN COUNTY III, LLC
Active
Other names
Briarwood Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CELINA C SHARIFF (MANAGER)
(832) 651-3694
Entity
Organization
Contact information
Practice address
1515 W MAIN ST, BELLVILLE, TX 77418-9737
(979) 865-3145
(979) 865-9963
Mailing address
1515 W MAIN ST, BELLVILLE, TX 77418-9737
(979) 865-3145
(979) 865-9963
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
004648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004648
FACILITY LICENSE
TX
Enumeration date
10/08/2010
Last updated
10/27/2011
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