Organization
CITIZENS MEDICAL CENTER COUNTY OF VICTORIA
Active
Other names
Shady Oak Nursing and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN THAMES (CEO)
(361) 573-9181
Entity
Organization
Contact information
Practice address
101 SOUTH LANCASTER, MOULTON, TX 77975-0120
(361) 596-7373
(361) 596-7671
Mailing address
2701 HOSPITAL DR, VICTORIA, TX 77901-5748
(361) 573-9181
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/20/2013
Last updated
08/22/2014
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