# ALTAMIRA HEALTHCARE LLC

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

## Provider details

- **NPI number:** 1821601691
- **Authorized official:** MR. SHAMAR J JOHNSON (OWNER)
- **Authorized official phone:** (415) 902-5163

## Contact information

- **Practice address:** 200 CARLA ST, ZAPATA, TX 78076-3114
- **Practice address phone:** (415) 902-5163
- **Mailing address:** 200 CARLA ST, ZAPATA, TX 78076-3114
- **Mailing address phone:** (415) 902-5163

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2020
- **Last updated:** 08/31/2020