Organization
BERTRAM DEVELOPMENT COMPANY INC
Active
Other names
Bertram Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS RAY BAKER JR. LNFA (ADMINISTRATOR)
(512) 355-2116
Entity
Organization
Contact information
Practice address
540 HIGHWAY 29 EAST, BERTRAM, TX 78605-1615
(512) 355-2116
(512) 355-2092
Mailing address
PO BOX 1615, BERTRAM, TX 78605-1615
(512) 355-2116
(512) 355-2092
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
115364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00452202
VENDOR NUMBER
TX
Enumeration date
06/16/2006
Last updated
04/01/2008
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