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Organization
ADVANCED LIVING TECHNOLOGIES INC
Active
Organization
ADVANCED LIVING TECHNOLOGIES INC
Active
Other names
MANOR OAKS NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL GRAY (PRESIDENT)
(512) 345-0700
Entity
Organization
Contact information
Practice address
222 S FM 487, ROCKDALE, TX 76567-5047
(512) 446-5893
(512) 446-6785
Mailing address
10415 MORADO CIR, SUITE 3 120, AUSTIN, TX 78759-5696
(512) 345-0700
(888) 368-3534
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117722
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000496303
—
TX
Enumeration date
04/13/2007
Last updated
11/01/2012
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