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Organization
LAREDO OPERATOR LTD
Active
Organization
LAREDO OPERATOR LTD
Active
Other names
Laredo Nursing Rehabilition Ctr
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL FELLBAUM (CEO)
(210) 828-5686
Entity
Organization
Contact information
Practice address
1701 TOURNAMENT TRAIL DRIVE, LAREDO, TX 78041
(210) 828-5686
(210) 798-0725
Mailing address
1020 NE LOOP 410, SUITE 640, SAN ANTONIO, TX 78209-1204
(210) 828-5686
(210) 798-0725
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001020466
—
TX
Enumeration date
09/12/2011
Last updated
01/09/2015
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