# REGENCY IHS OF RIO GRANDE MANOR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Windsor Nursing and Rehabilitation Center of Rio Grande City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174259659
- **Authorized official:** DONOVAN DEKOWSKI (SECRETARY/TREASURER)
- **Authorized official phone:** (361) 576-0694

## Contact information

- **Practice address:** 400 S PETE DIAZ JR AVE, RIO GRANDE CITY, TX 78582-4817
- **Practice address phone:** (956) 487-2513
- **Practice address fax:** (956) 487-1053
- **Mailing address:** 101 W GOODWIN AVE STE 600, VICTORIA, TX 77901-6757
- **Mailing address phone:** (361) 894-0128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2022
- **Last updated:** 08/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004995 | — | TX |