Organization
GONZALES HEALTHCARE SYSTEMS
Active
Other names
Magnolia Living & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON ANZALDUA (CEO)
(830) 672-7581
Entity
Organization
Contact information
Practice address
1105 N MAGNOLIA AVE, LULING, TX 78648-1604
(830) 875-5606
Mailing address
1105 N MAGNOLIA AVE, LULING, TX 78648-1604
(830) 875-5606
(830) 672-2401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001026523
—
TX
Enumeration date
07/22/2013
Last updated
02/26/2024
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