Advanced Living Technologies Inc
Organization Active NPI Skilled Nursing Facility · Victoria, TX
NPI 1194949685 · NPPES record last updated Oct 16, 2012
Key facts
- NPI
- 1194949685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 117220 (TX)
- Legal business name
- ADVANCED LIVING TECHNOLOGIES INC
- Practice address
- 114 Medical Dr
Victoria, TX 77904-3101 - Phone
- (361) 576-6128
- Fax
- (361) 576-6563
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Paul Gray
- Title
- President
- Phone
- (512) 345-0700
Practitioners 1
-
Laurie Anne Prater, OTR
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 117220 | TX | Yes |
Addresses
Primary practice location
114 Medical Dr
Victoria, TX 77904-3101
Mailing address
10415 Morado Cir
Building 3 Suite 120
Austin, TX 78759-5696
Phone (512) 345-0700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000520902 | Medicaid | TX |
Other names
- Victoria Nursing and Rehab Center
Other providers in Victoria, TX
- Robin E Adams
- Add Life Mentoring of Victoria
- Brooke Adkison
- Ayo Adu
- Advanced Chiropractic & Rehabilitation
- Advanced Vision Care
- Affectionate Arms
- Affectionate Arms
- Junaid Haider Afridi
- Shah Nawaz Afridi
All providers in Victoria, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.