Organization
CANE ISLAND CARE CENTER, LP
Active
Other names
Cane Island Post Acute Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS M. CLARKE (CEO)
(540) 265-0322
Entity
Organization
Contact information
Practice address
21727 PROVINCIAL BOULEVARD, KATY, TX 77450-6508
(281) 717-1302
(281) 717-1303
Mailing address
21727 PROVINCIAL BOULEVARD, KATY, TX 77450-6508
(281) 717-1302
(281) 717-1303
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016203
—
TX
Enumeration date
12/21/2007
Last updated
01/05/2009
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