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Organization
BERTRAM DEVELOPMENT COMPANY INC
Active
Organization
BERTRAM DEVELOPMENT COMPANY INC
Active
Other names
Bertram Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS RAY BAKER JR. LNFA (ADMINISTRATOR)
(512) 355-2116
Entity
Organization
Contact information
Practice address
540 HIGHWAY 29 EAST, BERTRAM, TX 78605-1615
(512) 355-2116
(512) 355-2092
Mailing address
PO BOX 1615, BERTRAM, TX 78605-1615
(512) 355-2116
(512) 355-2092
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
115364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00452202
VENDOR NUMBER
TX
Enumeration date
06/16/2006
Last updated
04/01/2008
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