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Organization
TWIN PINES NURSING & REHABILIATATION INC.
Active
Organization
TWIN PINES NURSING & REHABILIATATION INC.
Active
Other names
Twin Pines Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BYRON BURRIS II LNFA (PRESIDENT)
(361) 576-9454
Entity
Organization
Contact information
Practice address
3301 E MOCKINGBIRD LN, VICTORIA, TX 77904-2437
(361) 573-3201
(361) 485-9916
Mailing address
PO BOX 7230, VICTORIA, TX 77903-7230
(361) 576-9454
(361) 576-2994
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012474
—
TX
05
—
094556003
—
TX
05
—
4975
—
TX
Enumeration date
07/05/2005
Last updated
09/18/2009
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