OrganizationActive
Advanced Living Technologies Inc
NPI 1043436298 · Pediatric Skilled Nursing Facility · Brookshire, TX
Provider details
- NPI number
- 1043436298
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Paul Gray, President
- License
- 116076 (TX)
Practice location
710 Highway 359 South
Brookshire, TX 77423-0638
Phone: (281) 375-5272
Fax: (281) 375-5383
Mailing address
10415 Morado Cir
Austin, TX 78759-5696
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2012-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.