Organization
LTC OF AUSTIN COUNTY I, LLC
Active
Other names
Colonial Belle Nursing Home Sealy
Organization subpart
No
Provider details
NPI number
Authorized official
CELINA C SHARIFF (MANAGER)
(832) 651-3694
Entity
Organization
Contact information
Practice address
1401 EAGLE LAKE RD, SEALY, TX 77474-3109
(979) 865-2937
(979) 865-0780
Mailing address
1401 EAGLE LAKE RD, SEALY, TX 77474-3109
(979) 865-2937
(979) 865-0780
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100852
FACILITY LICENSE
TX
05
—
5424
—
TX
Enumeration date
10/08/2010
Last updated
10/27/2011
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