Advanced Living Technologies Inc
Organization Active NPI Pediatric Skilled Nursing Facility · Giddings, TX
NPI 1962626432 · NPPES record last updated Nov 2, 2012
Key facts
- NPI
- 1962626432
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Skilled Nursing Facility 3140N1450X
- License
- 117933 (TX)
- Legal business name
- ADVANCED LIVING TECHNOLOGIES INC
- Practice address
- 1181 N Williamson St
Giddings, TX 78942-1213 - Phone
- (979) 542-3611
- Fax
- (979) 542-1365
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Paul Gray
- Title
- President
- Phone
- (512) 345-0700
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 117933 | TX | Yes |
Addresses
Primary practice location
1181 N Williamson St
Giddings, TX 78942-1213
Mailing address
10415 Morado Cir
Suite 3 120
Austin, TX 78759-5696
Phone (512) 345-0700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000477503 | Medicaid | TX |
Other names
- COUNTRY CAREPLEX
Other providers in Giddings, TX
- Jeffrey Chonaworah Adisam
- Corinne Theresa Alvarez-Sanders
- Amazing Grit & Grace, LLC
- Amy J .Jatzlau, M.D., P.a.
- Jerry Anderson
- B & M Ambulance Service Inc
All providers in Giddings, TX · Pediatric 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 Nov 2, 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.