Organization
GRANITE MESA HEALTH CENTER, LTD.
Active
Other names
Granite Mesa Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM C HORABIN (PRESIDENT)
(830) 693-0022
Entity
Organization
Contact information
Practice address
1401 MAX COPELAND DRIVE, MARBLE FALLS, TX 78654-4665
(830) 693-0022
(830) 693-2322
Mailing address
1301 SOUTH MOPAC, FOUR BARTON SKYWAY, SUITE 320, AUSTIN, TX 78746-6921
(512) 703-2210
(512) 703-2050
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016519
—
TX
Enumeration date
12/03/2008
Last updated
09/16/2009
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