Organization
MASON DESSAU OP LLC
Active
Other names
Cedar View Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL A. CLARK (ADMINISTRATOR)
(512) 873-2244
Entity
Organization
Contact information
Practice address
11020 DESSAU ROAD, AUSTIN, TX 78754-2053
(512) 873-2244
(512) 873-2249
Mailing address
11020 DESSAU RD, AUSTIN, TX 78754-2053
(512) 873-2244
(512) 873-2249
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
135482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104003
FACILITY ID
TX
Enumeration date
06/01/2009
Last updated
11/30/2012
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