# CITIZENS MEDICAL CENTER COUNTY OF VICTORIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ganado Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750702627
- **Authorized official:** STEPHEN THAMES (CEO)
- **Authorized official phone:** (361) 573-9181

## Contact information

- **Practice address:** 107 E ROGERS ST, GANADO, TX 77962-8420
- **Practice address phone:** (361) 771-3315
- **Mailing address:** 2701 HOSPITAL DR, VICTORIA, TX 77901-5748
- **Mailing address phone:** (361) 573-9181

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2013
- **Last updated:** 08/22/2014