Organization
TOWN & COUNTRY MANOR, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBEL C. MCCORMACK (ADMINISTRATOR)
(830) 249-3085
Entity
Organization
Contact information
Practice address
625 N MAIN ST, BOERNE, TX 78006-1621
(830) 249-3085
(830) 249-8033
Mailing address
625 N MAIN ST, BOERNE, TX 78006-1621
(830) 249-3085
(830) 249-8033
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
455796
TX
Other
Enumeration date
11/08/2005
Last updated
08/22/2020
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