# CORONADO CONTINUING CARE CENTER LTD CO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coronado at Stone Oak
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912332180
- **Authorized official:** ROBIN F UNDERHILL (CEO)
- **Authorized official phone:** (214) 954-4114

## Contact information

- **Practice address:** 19638 STONE OAK PKWY, SAN ANTONIO, TX 78258-3279
- **Practice address phone:** (214) 954-4114
- **Practice address fax:** (214) 871-3057
- **Mailing address:** 2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
- **Mailing address phone:** (214) 954-4114
- **Mailing address fax:** (214) 871-3057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 138286 | TX | Yes |

## Other

- **Enumeration date:** 09/06/2013
- **Last updated:** 06/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001025524 | — | TX |