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Organization
CALAVARAS CREEK HEALTHCARE LLC
Active
Organization
CALAVARAS CREEK HEALTHCARE LLC
Active
Other names
Pecan Valley Rehabilitation and Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
3838 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3556
(210) 581-2273
(210) 572-6994
Mailing address
3838 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3556
(210) 581-2273
(210) 572-6994
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
07/31/2019
Last updated
01/20/2023
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