# LTC OF AUSTIN COUNTY III, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Briarwood Manor Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306156328
- **Authorized official:** CELINA C SHARIFF (MANAGER)
- **Authorized official phone:** (832) 651-3694

## Contact information

- **Practice address:** 1515 W MAIN ST, BELLVILLE, TX 77418-9737
- **Practice address phone:** (979) 865-3145
- **Practice address fax:** (979) 865-9963
- **Mailing address:** 1515 W MAIN ST, BELLVILLE, TX 77418-9737
- **Mailing address phone:** (979) 865-3145
- **Mailing address fax:** (979) 865-9963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 004648 | TX | Yes |

## Other

- **Enumeration date:** 10/08/2010
- **Last updated:** 10/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004648 | FACILITY LICENSE | TX |