Organization
PROVIDER HEALTHCARE SERVICES OF LULING, LLC
Active
Other names
OakCreek Nursing & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED MORGAN (AGENT)
(512) 343-9070
Entity
Organization
Contact information
Practice address
1105 N MAGNOLIA AVE, LULING, TX 78648-1604
(830) 875-5606
(830) 875-5857
Mailing address
1105 N MAGNOLIA AVE, P. O. BOX 1066, LULING, TX 78648-1604
(830) 875-5606
(830) 875-5857
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
005045
TX
Other
Enumeration date
07/05/2005
Last updated
08/22/2020
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