Organization
BRENHAM HC HOLDINGS LLC
Active
Other names
High Hope Care Center of Brenham
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL A BROUSSARD (MANAGING MEMBER)
(337) 439-6600
Entity
Organization
Contact information
Practice address
401 E BLUE BELL RD, BRENHAM, TX 77833-2407
(979) 836-6611
Mailing address
127 W BROAD ST, SUITE 800, LAKE CHARLES, LA 70601-4291
(337) 439-6600
(337) 439-6647
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
134683
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004558
—
TX
Enumeration date
04/02/2012
Last updated
11/16/2012
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