Organization
J G & M LLC
Active
Other names
Brownwood Skilled Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MONTE RANDALL (COO)
(940) 374-3804
Entity
Organization
Contact information
Practice address
2700 MEMORIAL PARK DR, BROWNWOOD, TX 76801-8481
(325) 643-9801
(325) 646-8449
Mailing address
9450 FM 2210 E, POOLVILLE, TX 76487-5028
(940) 734-8304
(940) 374-3069
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
131802
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001018771
—
TX
Enumeration date
03/17/2010
Last updated
09/02/2011
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