902 E MAIN ST OPCO LLC

Skilled Nursing Facility

Active Organization
NPI: 1417845207

Practice Address

902 E MAIN ST
San Augustine, TX 75972

Phone: (936) 275-2055

Specialties

Specialty Code Primary License
Skilled Nursing Facility 314000000X Yes -

Frequently Asked Questions

NPI 1417845207 is the National Provider Identifier for 902 E MAIN ST OPCO LLC, a Skilled Nursing Facility provider located in San Augustine, TX. This NPI was enumerated on June 27, 2025.

Quick Facts

NPI
1417845207
Type
Organization
Enumerated
Jun 27, 2025
Last Updated
Jun 27, 2025

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