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Organization
LTC OF AUSTIN COUNTY II, LLC
Active
Organization
LTC OF AUSTIN COUNTY II, LLC
Active
Other names
Colonial Belle Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
CELINA C SHARIFF (MANAGER)
(832) 651-3694
Entity
Organization
Contact information
Practice address
106 N BARON ST, BELLVILLE, TX 77418-1303
(979) 865-3689
(979) 865-2137
Mailing address
106 N BARON ST, BELLVILLE, TX 77418-1303
(979) 865-3689
(979) 865-2137
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
005151
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000515102
—
TX
01
—
005151
FACILITY LICENSE
TX
Enumeration date
10/08/2010
Last updated
03/30/2016
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