Organization
LTC OF AUSTIN COUNTY II, LLC
Active
Other names
Colonial Belle Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
CELINA C SHARIFF (MANAGER)
(832) 651-3694
Entity
Organization
Contact information
Practice address
106 N BARON ST, BELLVILLE, TX 77418-1303
(979) 865-3689
(979) 865-2137
Mailing address
106 N BARON ST, BELLVILLE, TX 77418-1303
(979) 865-3689
(979) 865-2137
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
005151
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000515102
—
TX
01
—
005151
FACILITY LICENSE
TX
Enumeration date
10/08/2010
Last updated
03/30/2016
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