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Organization

LIBERTY COUNTY HOSPITAL DISTRICT NO.1

Active
Other names
Brenham Rest Home
Organization subpart
No

Provider details

NPI number
Authorized official
MR. C BRUCE STRATTON (PRESIDENT, BOARD OF DIRECTORS)
(936) 336-5766
Entity
Organization

Contact information

Practice address
406 COTTONWOOD ST, BRENHAM, TX 77833-3237
(979) 836-3434
Mailing address
624 FANNIN ST, LIBERTY, TX 77575-4916

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000415302
TX
Enumeration date
06/30/2014
Last updated
06/30/2014
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