Organization
MSPF II GRANBURY O.E., L.P.
Active
Other names
Harbor Lakes Plaza Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RONCK (PRESIDENT)
(214) 651-4050
Entity
Organization
Contact information
Practice address
1300 2ND ST, GRANBURY, TX 76048-1496
(817) 408-3800
(817) 573-0165
Mailing address
3811 TURTLE CREEK BLVD, SUITE 1850, DALLAS, TX 75219-4402
(214) 651-4050
(214) 651-4001
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
124179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016065
—
TX
01
—
103435
DADS FACILITY ID
TX
Enumeration date
02/15/2008
Last updated
11/14/2008
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