ADVANCED LIVING TECHNOLOGIES INC
Nursing Care, Pediatric
Giddings, Texas
Provider NPI: 1962626432
Organization Information:Organization Name: ADVANCED LIVING TECHNOLOGIES INC
Practice Location:
1181 N WILLIAMSON ST GIDDINGS, TX 78942 US
Tel: 979-542-3611 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1181 N WILLIAMSON ST GIDDINGS, TX 78942 US
Tel: 979-542-3611 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | TX | 117933 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
000477503 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin