Gazebo Terrace Convalescent Center

NPI 1447414156 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1447414156
Enumeration Date 07/11/2008
Last Updated 07/11/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RON L RON
Position ADMINISTRATOR
Phone (979) 830-7100
Fax (979) 830-0820
Practice Location
1303 HIGHWAY 290 E
BRENHAM TX, 77833-5928, US
Phone (979) 830-7100
Fax (979) 830-0820
Business Location
1303 HIGHWAY 290 E
BRENHAM TX, 77833-5928, US
Phone (979) 830-7100
Fax (979) 830-0820
Toxanomy
Taxonomy Code 313M00000X
License State Texas
License Number 122969
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According to our database, Gazebo Terrace Convalescent Center NPI is 1447414156, taxonomy code is 313M00000X and license number is 122969, license state is located at Texas. Gazebo Terrace Convalescent Center physically located at 1303 Highway 290 E, Brenham TX, 77833-5928. NPI Number 1033115704 has the healthcare provider type.

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1447414156 NPI number is provided on an as is basis without warranty of any kind. 1447414156 is maintained by the National Plan & Provider Enumeration System. The contents of Gazebo Terrace Convalescent Center are for informational purposes only.