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Organization

902 E MAIN ST OPCO LLC

Active
Other names
Avir at San Augustine
Organization subpart
No

Provider details

NPI number
Authorized official
NOCHUM FREUND (MANAGER)
(732) 719-5098
Entity
Organization

Contact information

Practice address
902 E MAIN ST, SAN AUGUSTINE, TX 75972-2316
(936) 275-2055
(936) 275-5658
Mailing address
902 E MAIN ST, SAN AUGUSTINE, TX 75972-2316
(936) 275-2055
(936) 275-5658

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
06/27/2025
Last updated
06/27/2025
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