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Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Other names
San Pedro Manor
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (SECRETARY OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
515 W ASHBY PL, SAN ANTONIO, TX 78212-3802
(210) 732-5181
(210) 732-8663
Mailing address
515 W ASHBY PL, SAN ANTONIO, TX 78212-3898
(210) 732-5181
(210) 737-6721
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005211
—
TX
Enumeration date
09/07/2005
Last updated
03/26/2026
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