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Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Other names
The Chandler Estate in Laurel Heights
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY WALLACE (CFO)
(830) 401-7220
Entity
Organization
Contact information
Practice address
1502 HOWARD ST, SAN ANTONIO, TX 78212-3444
(210) 737-5100
(210) 737-5157
Mailing address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 410-7220
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111729
TX
332BN1400X
Nursing Facility Supplies (DME)
117449
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
117449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05124
—
TX
Enumeration date
11/08/2005
Last updated
08/31/2017
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