# RJ MERIDIAN CARE ALTA VISTA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meridian Care Monte Vista
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396073474
- **Authorized official:** MR. RAMIRO G LOZANO (MANAGING DIRECTOR)
- **Authorized official phone:** (281) 465-0636

## Contact information

- **Practice address:** 616 W RUSSELL PL, SAN ANTONIO, TX 78212-3658
- **Practice address phone:** (281) 465-0636
- **Practice address fax:** (281) 465-0748
- **Mailing address:** 25009 OAKHURST DR, SPRING, TX 77386-1975
- **Mailing address phone:** (281) 465-0636
- **Mailing address fax:** (281) 465-0748

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2009
- **Last updated:** 05/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4473 | — | TX |