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Organization
PRIME CARE SEVEN, LLC
Active
Organization
PRIME CARE SEVEN, LLC
Active
Other names
Brighton Gardens of San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY CARTER (EXECUTIVE DIRECTOR)
(210) 930-1040
Entity
Organization
Contact information
Practice address
855 E BASSE RD, SAN ANTONIO, TX 78209-1890
(210) 930-1040
(210) 930-1844
Mailing address
7900 WESTPARK DR, T-900, ATTN: MEDICARE BILLING, M. GARCIA, MC LEAN, VA 22102-4242
(703) 854-0823
(703) 854-0164
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114330
TX
Other
Enumeration date
05/10/2006
Last updated
06/18/2008
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