Organization
HAMILTON COUNTY HOSPITAL DISTRICT
Active
Other names
Brodie Ranch Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
2101 FRATE BARKER RD, AUSTIN, TX 78748-3614
(512) 444-5627
Mailing address
2101 FRATE BARKER RD, AUSTIN, TX 78748-3614
(512) 444-5627
(512) 368-2034
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001030444
—
TX
05
—
104451
—
TX
05
—
5586
—
TX
Enumeration date
02/14/2019
Last updated
10/03/2022
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