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Organization
902 E MAIN ST TX15 OPCO LLC
Active
Organization
902 E MAIN ST TX15 OPCO LLC
Active
Other names
San Augustine Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
JARED ELLIOTT (CEO)
(718) 916-1443
Entity
Organization
Contact information
Practice address
902 E MAIN ST, SAN AUGUSTINE, TX 75972-2316
(936) 275-2055
Mailing address
902 E MAIN ST, SAN AUGUSTINE, TX 75972-2316
(936) 275-2055
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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