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Organization
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Organization
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Active
Other names
GRACY WOODS II LIVING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID K BYROM (CEO)
(254) 248-6300
Entity
Organization
Contact information
Practice address
12042 BITTERN HOLW, AUSTIN, TX 78758-3350
(512) 730-2100
(512) 339-0023
Mailing address
12042 BITTERN HOLW, AUSTIN, TX 78758-3350
(512) 730-2100
(512) 339-0023
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005356
—
TX
Enumeration date
02/27/2017
Last updated
02/27/2017
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