# PHCC - CEDAR BAYOU REHABILITATION & HEALTH CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Bayou Rehabilitation & Health Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912175688
- **Authorized official:** MR. JAMES A. MEYERS JR. (MEMBER)
- **Authorized official phone:** (210) 545-6320

## Contact information

- **Practice address:** 2000 W. BAKER RD., BAYTOWN, TX 77521-2166
- **Practice address phone:** (210) 545-6320
- **Practice address fax:** (210) 545-2730
- **Mailing address:** 2000 W. BAKER RD., BAYTOWN, TX 77521-2166
- **Mailing address phone:** (210) 545-6320
- **Mailing address fax:** (210) 545-2730

## Taxonomy

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

## Other

- **Enumeration date:** 02/15/2008
- **Last updated:** 02/15/2008

## Other identifiers

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