# PHCC-BRODIE RANCH REHABILITATION & HEALTH CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Oaks Rehabilitation and Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477879401
- **Authorized official:** MR. JAMES A. MEYERS JR. (MANAGER)
- **Authorized official phone:** (210) 545-6320

## Contact information

- **Practice address:** 2101 FRATE BARKER ROAD, AUSTIN, TX 78748-3614
- **Practice address phone:** (210) 545-6320
- **Practice address fax:** (210) 545-2730
- **Mailing address:** 19115 FM 2252, SUITE 1, GARDEN RIDGE, TX 78266-2577
- **Mailing address phone:** (210) 545-6320
- **Mailing address fax:** (210) 545-2730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | PENDING | TX | Yes |

## Other

- **Enumeration date:** 04/15/2010
- **Last updated:** 04/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | PENDING | — | TX |