Organization
PROVIDER HEALTHCARE SERVICES OF LULING, LLC
Active
Other names
Oakcreek Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED MORGAN (MANAGER)
(512) 343-9070
Entity
Organization
Contact information
Practice address
1105 N MAGNOLIA AVE, LULING, TX 78648-1604
(830) 875-5606
(830) 875-5857
Mailing address
3420 EXECUTIVE CENTER DR, SUITE 100, AUSTIN, TX 78731-1624
(512) 343-9070
(512) 343-1060
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117854
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014325
—
TX
Enumeration date
07/31/2006
Last updated
08/22/2020
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