Organization
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
Active
Other names
SOUTHBROOKE MANOR NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL OLSON (CEO/ADMINISTRATOR)
(361) 573-9181
Entity
Organization
Contact information
Practice address
1401 W MAIN ST, EDNA, TX 77957-2454
(361) 782-7614
(833) 217-5345
Mailing address
2701 HOSPITAL DR, VICTORIA, TX 77901-5748
(361) 573-9181
(361) 572-5126
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025756
—
TX
05
—
361148501
—
TX
05
—
5302
—
TX
Enumeration date
12/17/2013
Last updated
05/13/2026
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