Organization
CHARLESTON BOERNE OPERATIONS, LLC
Active
Other names
Carechoice of Boerne
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL A BROUSSARD (MANAGING MEMBER)
(337) 439-6600
Entity
Organization
Contact information
Practice address
200 RYAN ST, BOERNE, TX 78006-2046
(830) 249-2594
(830) 248-1314
Mailing address
200 RYAN ST, BOERNE, TX 78006-2046
(830) 249-2594
(830) 248-1314
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
135182
TX
Other
Enumeration date
05/08/2014
Last updated
05/09/2014
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