# INCARNATE WORD RETIREMENT COMMUNITY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770197287
- **Authorized official:** JOAN DIXON (VP OF FINANCE AND CFO)
- **Authorized official phone:** (210) 829-7561

## Contact information

- **Practice address:** 4707 BROADWAY, SAN ANTONIO, TX 78209-6215
- **Practice address phone:** (210) 829-7561
- **Practice address fax:** (210) 828-0020
- **Mailing address:** 17621 STATE HIGHWAY 95, HOLLAND, TX 76534-4422
- **Mailing address phone:** (512) 868-7567

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/02/2020
- **Last updated:** 09/02/2020