Provider Healthcare Services of Luling, LLC

Organization Active NPI Skilled Nursing Facility · Luling, TX

NPI 1013914191 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1013914191
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
005045 (TX)
Legal business name
PROVIDER HEALTHCARE SERVICES OF LULING, LLC
Practice address
1105 N Magnolia Ave
Luling, TX 78648-1604
Phone
(830) 875-5606
Fax
(830) 875-5857
NPI assigned
Jul 5, 2005
Organization subpart
No

Authorized official

Name
Mr. Ted Morgan
Title
Agent
Phone
(512) 343-9070

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 005045 TX Yes

Addresses

Primary practice location

1105 N Magnolia Ave
Luling, TX 78648-1604

Mailing address

1105 N Magnolia Ave
P. O. Box 1066
Luling, TX 78648-1604
Phone (830) 875-5606

Other names

  • OakCreek Nursing & Rehab Doing business as

Other providers in Luling, TX

All providers in Luling, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.