# RJ MERIDIAN CARE OF SAN ANTONIO III LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meridian Care at Grayson Square
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760775522
- **Authorized official:** ALICE FLORES (DIRECTOR OF FINANCE)
- **Authorized official phone:** (210) 827-5818

## Contact information

- **Practice address:** 815 E GRAYSON ST, SAN ANTONIO, TX 78208-1014
- **Practice address phone:** (210) 827-5818
- **Practice address fax:** (210) 767-9560
- **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:** 05/25/2011
- **Last updated:** 04/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5058 | — | TX |