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Organization

BST HEALTH SERVICES CORP

Active
Other names
The Vista at Blue Skies of Texas West
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN ENGLUND CPA (CFO, TREASURER)
(210) 838-6332
Entity
Organization

Contact information

Practice address
5100 JOHN D RYAN BLVD, SAN ANTONIO, TX 78245-3500
(210) 568-3403
(210) 670-8159
Mailing address
12455 FREEDOM WAY, SAN ANTONIO, TX 78245-3526
(210) 838-6325
(210) 838-6315

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
115823
TX
314000000X
Skilled Nursing Facility
Primary
115823
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
67-5786
MEDICARE ID PTAN
TX
Enumeration date
07/26/2006
Last updated
02/16/2016
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