Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SHADY SHORES OF SAN SABA LLC
Active
Organization
SHADY SHORES OF SAN SABA LLC
Active
Other names
Shady Shores of San Saba
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WALLACE (CEO)
(940) 228-1414
Entity
Organization
Contact information
Practice address
2400 WEST BROWN ST., SAN SABA, TX 76877
(325) 455-3200
Mailing address
320 EAGLE DR, SUITE 201, DENTON, TX 76201-6898
(940) 228-1414
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001027949
—
TX
Enumeration date
02/25/2016
Last updated
11/14/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers