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Organization
LTC OF AUSTIN COUNTY I, LLC
Active
Organization
LTC OF AUSTIN COUNTY I, LLC
Active
Other names
Colonial Belle Nursing Home Sealy
Organization subpart
No
Provider details
NPI number
Authorized official
CELINA C SHARIFF (MANAGER)
(832) 651-3694
Entity
Organization
Contact information
Practice address
1401 EAGLE LAKE RD, SEALY, TX 77474-3109
(979) 865-2937
(979) 865-0780
Mailing address
1401 EAGLE LAKE RD, SEALY, TX 77474-3109
(979) 865-2937
(979) 865-0780
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100852
FACILITY LICENSE
TX
05
—
5424
—
TX
Enumeration date
10/08/2010
Last updated
10/27/2011
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