Organization
LIBERTY COUNTY HOSPITAL DISTRICT NO 1
Active
Other names
Mason Creek Transitional Care of Katy
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (AUTHORIZED AGENT)
(949) 540-1249
Entity
Organization
Contact information
Practice address
21727 PROVINCIAL BLVD, KATY, TX 77450-6508
(281) 717-1302
(281) 717-1396
Mailing address
21727 PROVINCIAL BLVD, KATY, TX 77450-6508
(281) 717-1302
(281) 717-1396
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
02/26/2016
Last updated
02/26/2021
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