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Organization
IGNITE MEDICAL RESORT SAN ANTONIO LLC
Active
Organization
IGNITE MEDICAL RESORT SAN ANTONIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FIELDS (CHIEF EXECUTIVE OFFICER)
(630) 327-2951
Entity
Organization
Contact information
Practice address
6035 ECKHERT RD, SAN ANTONIO, TX 78240-3164
(210) 642-5300
Mailing address
1550 N NORTHWEST HWY STE 430, PARK RIDGE, IL 60068-1461
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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