Organization
WEST WHARTON COUNTY HOSPITAL DISTRICT
Active
Other names
Lakeside Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H MAK (CFO)
(713) 569-7370
Entity
Organization
Contact information
Practice address
8707 LAKESIDE PKWY, SAN ANTONIO, TX 78245-3245
(210) 510-3200
(210) 645-1687
Mailing address
303 SANDY CORNER RD, EL CAMPO, TX 77437-9535
(979) 578-5250
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001030439
—
TX
05
—
105220
—
TX
05
—
5634
—
TX
Enumeration date
03/12/2019
Last updated
11/08/2022
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