Organization
LTC OF AUSTIN COUNTY III, LLC
Active
Other names
Briarwood Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
CELINA C SHARIFF (MANAGER)
(832) 651-3694
Entity
Organization
Contact information
Practice address
1515 W MAIN ST, BELLVILLE, TX 77418-9737
(979) 865-3145
(979) 865-9963
Mailing address
1515 W MAIN ST, BELLVILLE, TX 77418-9737
(979) 865-3145
(979) 865-9963
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
004648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004648
FACILITY LICENSE
TX
Enumeration date
10/08/2010
Last updated
10/27/2011
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