Organization
REBECCA ANN INC
Active
Other names
Village on the Creek Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL HEINIG (PRESIDENT)
(979) 297-0425
Entity
Organization
Contact information
Practice address
914 N BRAZOSPORT BLVD, CLUTE, TX 77531-3720
(979) 265-4794
(979) 265-4898
Mailing address
914 N BRAZOSPORT BLVD, CLUTE, TX 77531-3720
(979) 265-4794
(979) 265-4898
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110076
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000466306
—
TX
Enumeration date
03/22/2006
Last updated
10/26/2010
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