# LIBERTY COUNTY HOSPITAL DISTRICT NO 1

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mason Creek Transitional Care of Katy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659731081
- **Authorized official:** SOON BURNAM (AUTHORIZED AGENT)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 21727 PROVINCIAL BLVD, KATY, TX 77450-6508
- **Practice address phone:** (281) 717-1302
- **Practice address fax:** (281) 717-1396
- **Mailing address:** 21727 PROVINCIAL BLVD, KATY, TX 77450-6508
- **Mailing address phone:** (281) 717-1302
- **Mailing address fax:** (281) 717-1396

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2016
- **Last updated:** 02/26/2021