Organization
PHCC-BRODIE RANCH REHABILITATION & HEALTH CARE CENTER, LLC
Active
Other names
South Oaks Rehabilitation and Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A. MEYERS JR. (MANAGER)
(210) 545-6320
Entity
Organization
Contact information
Practice address
2101 FRATE BARKER ROAD, AUSTIN, TX 78748-3614
(210) 545-6320
(210) 545-2730
Mailing address
19115 FM 2252, SUITE 1, GARDEN RIDGE, TX 78266-2577
(210) 545-6320
(210) 545-2730
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PENDING
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
TX
Enumeration date
04/15/2010
Last updated
04/15/2010
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