# SSC ROBSTOWN OPERATING COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Retama Manor Nursing Center - Robstown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720109002
- **Authorized official:** KELLE C SANTORO (SR DIRECTOR AR)
- **Authorized official phone:** (832) 467-5728

## Contact information

- **Practice address:** 603 E AVENUE J, ROBSTOWN, TX 78380-2338
- **Practice address phone:** (361) 387-1568
- **Mailing address:** 5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
- **Mailing address phone:** (832) 467-6000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 14588 | TX | Yes |

## Other

- **Enumeration date:** 04/03/2007
- **Last updated:** 02/04/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001013398 | — | TX |