Organization
MASON GEORGETOWN OP LLC
Active
Other names
Estrella Oaks Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R. THREADGILL (ADMINISTRATOR)
(512) 868-2700
Entity
Organization
Contact information
Practice address
4011 WILLIAMS DR, GEORGETOWN, TX 78628-2491
(512) 868-2700
(512) 868-2999
Mailing address
4011 WILLIAMS DR, GEORGETOWN, TX 78628-2491
(512) 868-2700
(512) 868-2999
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
134293
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019243
—
TX
01
—
104710
FACILITY ID
TX
Enumeration date
10/25/2010
Last updated
08/02/2012
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