Organization
IGNITE MEDICAL RESORT SAN ANTONIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FIELDS (CHIEF EXECUTIVE OFFICER)
(630) 327-2951
Entity
Organization
Contact information
Practice address
6035 ECKHERT RD, SAN ANTONIO, TX 78240-3164
(210) 642-5300
Mailing address
1550 N NORTHWEST HWY STE 430, PARK RIDGE, IL 60068-1461
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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