# STONEBRIDGE SCC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stonebridge SN Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902131162
- **Authorized official:** MR. MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (214) 252-7600

## Contact information

- **Practice address:** 11127 CIRCLE DR, AUSTIN, TX 78736-7767
- **Practice address phone:** (512) 443-3436
- **Practice address fax:** (512) 445-4211
- **Mailing address:** 600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
- **Mailing address phone:** (214) 252-7600
- **Mailing address fax:** (214) 252-7704

## Taxonomy

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

## Other

- **Enumeration date:** 10/06/2009
- **Last updated:** 03/02/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001017791 | — | TX |