Organization
LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
Active
Other names
Briarcliff Skilled Nursing Facility
Organization subpart
No
Provider details
NPI number
Authorized official
C BRUCE STRATTON (BOARD PRESIDENT)
(936) 336-7400
Entity
Organization
Contact information
Practice address
4054 NW LOOP, CARTHAGE, TX 75633-3346
(903) 693-8504
(903) 693-9487
Mailing address
1500 WATERS RIDGE DR, SUITE 200, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001021324
—
TX
01
—
176024101
MEDICAID CO B
TX
Enumeration date
09/07/2005
Last updated
02/17/2017
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