# AMBASSADOR HEALTH CARE OF BRADY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Duval Gardens
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902993066
- **Authorized official:** MS. THERESA L LOFTICE (AR MANAGER)
- **Authorized official phone:** (972) 479-0766

## Contact information

- **Practice address:** 5301 DUVAL RD, AUSTIN, TX 78727-6618
- **Practice address phone:** (512) 345-1805
- **Mailing address:** 1771 INTERNATIONAL PKWY, SUITE 121, RICHARDSON, TX 75081-1897
- **Mailing address phone:** (972) 479-0844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 108291 | TX | Yes |

## Other

- **Enumeration date:** 10/09/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4970 | — | TX |