Organization
J-S FREDERICKSBURG OPERATIONS LP
Active
Other names
Windcrest Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA PIERCE (AUTHORIZED OFFICER)
(972) 899-4401
Entity
Organization
Contact information
Practice address
210 W WINDCREST ST, FREDERICKSBURG, TX 78624-4408
(830) 997-7422
(830) 997-0317
Mailing address
1500 WATERS RIDGE DR, STE. 200, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
121338
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015160
—
TX
01
—
190698601
MCD CO B
TX
Enumeration date
07/16/2007
Last updated
02/10/2009
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