Organization
LIVE OAK INN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATY C MILBERT (ADMINISTRATOR)
(830) 990-4391
Entity
Organization
Contact information
Practice address
619 W LIVE OAK ST, FREDERICKSBURG, TX 78624-4415
(830) 997-4391
(830) 990-9711
Mailing address
619 W LIVE OAK ST, FREDERICKSBURG, TX 78624-4415
(830) 997-4391
(830) 990-9711
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4204
TX
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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