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Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Other names
Northeast Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
603 CORINNE DR, SAN ANTONIO, TX 78218-3303
(210) 824-7331
(210) 824-1334
Mailing address
603 CORINNE DR, SAN ANTONIO, TX 78218-3303
(210) 824-7331
(210) 824-7331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004268
—
TX
Enumeration date
09/20/2005
Last updated
03/10/2022
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