# CENTURY MISSION OAKS GEAC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154329043
- **Authorized official:** MRS. MYRNA ROBINSON (FACILITY ADMINISTRATOR)
- **Authorized official phone:** (210) 924-8151

## Contact information

- **Practice address:** 3030 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2337
- **Practice address phone:** (210) 924-8151
- **Practice address fax:** (210) 924-2208
- **Mailing address:** 3030 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2337
- **Mailing address phone:** (210) 924-8151
- **Mailing address fax:** (210) 924-2208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 112541 | TX | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 06/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005051 | — | TX |
