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Organization
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
Active
Organization
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
Active
Other names
SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL OLSON (CEO/ADMINISTRATOR)
(361) 573-9181
Entity
Organization
Contact information
Practice address
1401 W MAIN ST, EDNA, TX 77957-2454
(361) 782-7614
(833) 217-5345
Mailing address
2701 HOSPITAL DR, VICTORIA, TX 77901-5748
(361) 573-9181
(361) 572-5126
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025756
—
TX
05
—
361148501
—
TX
05
—
5302
—
TX
Enumeration date
12/17/2013
Last updated
05/13/2026
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