Healthcare Provider Details

I. General information

NPI: 1083688089
Provider Name (Legal Business Name): ROBERTSON MANAGEMENT COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 N HEARNE ST
FRANKLIN TX
77856-4802
US

IV. Provider business mailing address

700 N HEARNE ST
FRANKLIN TX
77856-4802
US

V. Phone/Fax

Practice location:
  • Phone: 979-828-5152
  • Fax: 979-828-5658
Mailing address:
  • Phone: 979-828-5152
  • Fax: 979-828-5658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number115598
License Number StateTX

VIII. Authorized Official

Name: MR. DOUGLAS SADTLER
Title or Position: ADMINISTRATOR
Credential:
Phone: 979-828-5152