Organization
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
Active
Other names
Avalon Place--Kirbyville
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BRUCE STRATTON (PRESIDENT)
(936) 336-7400
Entity
Organization
Contact information
Practice address
700 N HERNDON AVE, KIRBYVILLE, TX 75956-1518
(409) 423-6111
(409) 423-5807
Mailing address
5560 TENNYSON PARKWAY, SUITE 210, PLANO, TX 75024
(469) 916-6100
(469) 916-6105
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
105977
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5201
—
TX
Enumeration date
05/11/2006
Last updated
10/12/2022
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