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Organization

GRANGER VILLA INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH S BARTOSH (PRESIDENT)
(512) 964-7053
Entity
Organization

Contact information

Practice address
800 N COMMERCE, GRANGER, TX 76530-0398
(512) 859-2800
(512) 859-2905
Mailing address
PO BOX 398, GRANGER, TX 76530-0398
(512) 859-2800
(512) 859-2905

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118542
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001003004
TX
Enumeration date
10/18/2006
Last updated
06/28/2013
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