Organization
SHADY SHORES OF BERTRAM LLC
Active
Other names
Bertram Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WALLACE (CEO)
(214) 422-1622
Entity
Organization
Contact information
Practice address
540 E. HIGHWAY 29, BERTRAM, TX 78605-4473
(512) 355-2116
Mailing address
320 EAGLE DR, SUITE 201, DENTON, TX 76201-6898
(940) 228-1414
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
07/28/2015
Last updated
06/14/2016
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