# R L TOMS INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** R L TOMS INC
- **Other names:** Live Oak Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508873696
- **Legal business name:** R L TOMS INC
- **Authorized official:** LYNDI ACHILLES (REGIONAL ADMINISTRATOR DIRECTOR)
- **Authorized official phone:** (830) 833-4567

## Contact information

- **Practice address:** 618 LIVE OAK ST, BLANCO, TX 78606-9998
- **Practice address phone:** (830) 833-4567
- **Practice address fax:** (830) 833-0466
- **Mailing address:** PO BOX 356, BLANCO, TX 78606-0356
- **Mailing address phone:** (830) 833-4567
- **Mailing address fax:** (830) 833-0466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 115368 | TX | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 121827 | TX | — |

## Other

- **Enumeration date:** 08/02/2006
- **Last updated:** 07/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000434202 | — | TX |