# SAN ANTONIO III ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mesa Vista Inn Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033677877
- **Authorized official:** GARY BLAKE (MANAGING MEMBER)
- **Authorized official phone:** (817) 348-8959

## Contact information

- **Practice address:** 5756 N KNOLL, SAN ANTONIO, TX 78240-2238
- **Practice address phone:** (210) 321-5200
- **Practice address fax:** (210) 321-5299
- **Mailing address:** 4150 INTERNATIONAL PLZ STE 600, FORT WORTH, TX 76109-4831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2019
- **Last updated:** 03/12/2019