OrganizationActive
902 E Main St Opco LLC
NPI 1417845207 · Skilled Nursing Facility · San Augustine, TX
Provider details
- NPI number
- 1417845207
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Nochum Freund, Manager(732) 719-5098
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
902 E Main St
San Augustine, TX 75972-2316
Phone: (936) 275-2055
Fax: (936) 275-5658
Approximate (ZIP-level) locationGet directions
Mailing address
902 E Main St
San Augustine, TX 75972-2316
Other names (DBA / former)
- Doing business as
- Avir at San Augustine
Registry dates
- Enumerated
- 2025-06-27
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.