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Organization
BRENHAM HEALTH CARE LTD
Active
Organization
BRENHAM HEALTH CARE LTD
Active
Other names
Brenham Rest Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL FELLBAUM (PRESIDENT)
(210) 828-5686
Entity
Organization
Contact information
Practice address
406 COTTONWOOD ST, BRENHAM, TX 77833-3237
(979) 836-3434
(979) 836-3461
Mailing address
1020 NE LOOP 410, SUITE #650, SAN ANTONIO, TX 78209-1204
(210) 828-5686
(210) 824-4669
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
105157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000415302
—
TX
01
—
1528507-01
TMHP PROVIDER #
TX
Enumeration date
10/17/2006
Last updated
10/15/2008
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