Organization · NPI-2

Barton Creek Senior Living Center INC.

Skilled Nursing Facility · Austin, TX

NPI number1215071428
StatusActive
Last updated in NPPESDec 28, 2007

Details

NPI
1215071428
Entity type
Organization (NPI-2)
Legal business name
Barton Creek Senior Living Center INC.
Organization subpart
No
Enumeration date
Feb 19, 2007
Last updated
Dec 28, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility–TXYes
310400000X Assisted Living Facility–TX

Other names

  • Querencia At Barton Creek (Doing Business As)

Practice location

2500 Barton Creek Blvd
Austin, TX 78735-1616

Phone 512-610-9424 · Fax 512-610-9427

Mailing address

2500 Barton Creek Blvd
Austin, TX 78735-1616

Phone 512-610-9424 · Fax 512-610-9427

Authorized official

Ross Alan Dickmann
Executive Director
5126109424

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