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Organization
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
Active
Organization
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
Active
Other names
Shady Oak Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN THAMES (CEO)
(361) 573-9181
Entity
Organization
Contact information
Practice address
101 SOUTH LANCASTER, MOULTON, TX 77975-0120
(361) 596-7373
(361) 596-7671
Mailing address
2701 HOSPITAL DR, VICTORIA, TX 77901-5748
(361) 573-9181
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/20/2013
Last updated
08/22/2014
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