# RETAMA MANOR

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

## Provider details

- **NPI number:** 1386771988
- **Authorized official:** MR. TED THORNELL (ADMINISTRATOR)
- **Authorized official phone:** (956) 968-8502

## Contact information

- **Practice address:** 721 S AIRPORT DR, WESLACO, TX 78596-6617
- **Practice address phone:** (956) 968-8502
- **Practice address fax:** (956) 968-0286
- **Mailing address:** 721 S AIRPORT DR, WESLACO, TX 78596-6617
- **Mailing address phone:** (956) 968-8502
- **Mailing address fax:** (956) 968-0286

## Taxonomy

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

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/22/2020