LTC of Austin County III, LLC

Organization Active NPI Nursing Facility/Intermediate Care Facility · Bellville, TX

NPI 1306156328 · NPPES record last updated Oct 27, 2011

Key facts

NPI
1306156328
Entity type
Organization (NPI type 2)
Primary specialty
Nursing Facility/Intermediate Care Facility 313M00000X
License
004648 (TX)
Legal business name
LTC OF AUSTIN COUNTY III, LLC
Practice address
1515 W Main St
Bellville, TX 77418-9737
Phone
(979) 865-3145
Fax
(979) 865-9963
NPI assigned
Oct 8, 2010
Organization subpart
No

Authorized official

Name
Celina C Shariff
Title
Manager
Phone
(832) 651-3694

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 004648 TX Yes

Addresses

Primary practice location

1515 W Main St
Bellville, TX 77418-9737

Mailing address

1515 W Main St
Bellville, TX 77418-9737
Phone (979) 865-3145

Other identifiers

IdentifierTypeStateIssuer
004648OtherTXFACILITY LICENSE

Other names

  • Briarwood Manor Care Center Doing business as

Other providers in Bellville, TX

All providers in Bellville, TX · Nursing Facility/Intermediate Care Facility in Texas

Sources for this page

Verify at the official NPI Registry.