# TI - KERRVILLE, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PLAZA ON THE RIVER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821151911
- **Authorized official:** MR. JOSEPH C TUTERA (PRESIDENT, CEO)
- **Authorized official phone:** (816) 444-0900

## Contact information

- **Practice address:** 808 GUADALUPE ST, KERRVILLE, TX 78028-5099
- **Practice address phone:** (830) 895-2636
- **Mailing address:** 808 GUADALUPE ST, KERRVILLE, TX 78028-5099
- **Mailing address phone:** (830) 895-2636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 15575 | TX | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 10/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0269 | — | TX |