Organization
MEMORIAL MEDICAL CENTER
Active
Other names
Ashford Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ANGLIN (CEO)
(361) 552-6713
Entity
Organization
Contact information
Practice address
7210 NORTHLINE DR, HOUSTON, TX 77076-1517
(713) 699-2882
Mailing address
815 N VIRGINIA ST, PORT LAVACA, TX 77979-3025
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67-5423
MEDICARE CCN
TX
Enumeration date
01/02/2015
Last updated
08/26/2015
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