Organization
AMBASSADOR HEALTH CARE OF BRADY INC
Active
Other names
Heritage Duval Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA L LOFTICE (AR MANAGER)
(972) 479-0766
Entity
Organization
Contact information
Practice address
5301 DUVAL RD, AUSTIN, TX 78727-6618
(512) 345-1805
Mailing address
1771 INTERNATIONAL PKWY, SUITE 121, RICHARDSON, TX 75081-1897
(972) 479-0844
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
108291
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4970
—
TX
Enumeration date
10/09/2006
Last updated
08/22/2020
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