Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Other names
Avir at Luling
Organization subpart
No
Provider details
NPI number
Authorized official
KODY GANN (CEO)
(830) 401-7720
Entity
Organization
Contact information
Practice address
501 W AUSTIN ST, LULING, TX 78648-1741
(830) 875-5628
(830) 875-5302
Mailing address
501 W AUSTIN ST, LULING, TX 78648-1741
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
130255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001017227
—
TX
01
—
004177
FACILITY ID
TX
Enumeration date
05/26/2009
Last updated
03/07/2025
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