OrganizationActive
Advanced Living Technologies Inc
NPI 1194949685 · Skilled Nursing Facility · Victoria, TX
Provider details
- NPI number
- 1194949685
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Authorized official
- Paul Gray, President
- License
- 117220 (TX)
Practice location
114 Medical Dr
Victoria, TX 77904-3101
Phone: (361) 576-6128
Fax: (361) 576-6563
Mailing address
10415 Morado Cir
Austin, TX 78759-5696
Registry dates
- Enumerated
- 2007-04-13
- 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.