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Organization

TRAVIS HEIGHTS HEALTHCARE, INC.

Active
Other names
Saint Richards Villa
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LOUIS FREDERCICK NICHOLSON III LNFA (CEO)
(832) 489-9944
Entity
Organization

Contact information

Practice address
15336 US HIGHWAY 82 WEST, MUENSTER, TX 76252
(940) 759-2219
(940) 759-4382
Mailing address
PO BOX 746, MUENSTER, TX 76252-0746
(940) 759-2219
(940) 759-4382

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
122427
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001014687
TX
05
4867
TX
Enumeration date
07/07/2006
Last updated
09/02/2008
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