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Organization

RIO AT FOX HOLLOW, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KURT DULLNIG (VP OPERATIONS)
(210) 504-4309
Entity
Organization

Contact information

Practice address
310 AMERICA DRIVE, BROWNSVILLE, TX 78526
(210) 757-4987
(210) 757-4987
Mailing address
1020 WILLIAM WAY NW, CLEVELAND, TN 37312-4369
(423) 388-4614

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
IN PROCESS
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001027609
TX
01
145090
STATE LICENSE
Enumeration date
02/15/2016
Last updated
09/01/2016
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