Organization
BRENHAM HEALTH CARE LTD
Active
Other names
Brenham Rest Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL FELLBAUM (PRESIDENT)
(210) 828-5686
Entity
Organization
Contact information
Practice address
406 COTTONWOOD ST, BRENHAM, TX 77833-3237
(979) 836-3434
(979) 836-3461
Mailing address
1020 NE LOOP 410, SUITE #650, SAN ANTONIO, TX 78209-1204
(210) 828-5686
(210) 824-4669
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
105157
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000415302
—
TX
01
—
1528507-01
TMHP PROVIDER #
TX
Enumeration date
10/17/2006
Last updated
10/15/2008
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