Organization · NPI-2

Ambassador Health Care Of Brady INC

Skilled Nursing Facility · Austin, TX

NPI number1902993066
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1902993066
Entity type
Organization (NPI-2)
Legal business name
Ambassador Health Care Of Brady INC
Organization subpart
No
Enumeration date
Oct 9, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility108291TXYes

Other names

  • Heritage Duval Gardens (Other Name)

Practice location

5301 Duval Rd
Austin, TX 78727-6618

Phone 512-345-1805

Mailing address

1771 International Pkwy
Suite 121
Richardson, TX 75081-1897

Phone 972-479-0844

Authorized official

Theresa L Loftice
Ar Manager
9724790766

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