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Organization
PROVIDER HEALTHCARE SERVICES OF LULING, LLC
Active
Organization
PROVIDER HEALTHCARE SERVICES OF LULING, LLC
Active
Other names
Oakcreek Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED MORGAN (MANAGER)
(512) 343-9070
Entity
Organization
Contact information
Practice address
1105 N MAGNOLIA AVE, LULING, TX 78648-1604
(830) 875-5606
(830) 875-5857
Mailing address
3420 EXECUTIVE CENTER DR, SUITE 100, AUSTIN, TX 78731-1624
(512) 343-9070
(512) 343-1060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117854
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014325
—
TX
Enumeration date
07/31/2006
Last updated
08/22/2020
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