Organization
GRCC HOLDINGS LTD
Active
Other names
Silver Tree Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAKE HALLSTED (LIMITED PARTNER)
(210) 566-9100
Entity
Organization
Contact information
Practice address
930 ROY RICHARD DR, SCHERTZ, TX 78154-1050
(210) 566-9100
(210) 566-9102
Mailing address
930 ROY RICHARD DR, SCHERTZ, TX 78154-1050
(210) 566-9100
(210) 566-9102
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
102647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014283
—
TX
01
—
159330301
MEDICAID TPI
TX
Enumeration date
05/12/2006
Last updated
07/28/2010
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