Organization
CB-SEALY NURSING HOME,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM PAWLOWSKI (OWNER)
(979) 885-2937
Entity
Organization
Contact information
Practice address
1401 EAGLE LAKE RD, SEALY, TX 77474-3109
(979) 885-2937
(979) 627-0780
Mailing address
1401 EAGLE LAKE RD, SEALY, TX 77474-3109
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
100852
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003328
—
TX
05
—
5424
—
TX
Enumeration date
10/18/2006
Last updated
12/11/2009
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