Organization
DIVERSICARE NORMANDY TERRACE LLC
Active
Parent organization
ADVOCAT INC.
Other names
Normandy Terrace Healthcare and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVOCAT INC.
Authorized official
KELLY J GILL (PRESIDENT AND CEO)
(615) 771-7575
Entity
Organization
Contact information
Practice address
841 RICE RD, SAN ANTONIO, TX 78220-3513
(210) 648-0101
(210) 648-2252
Mailing address
841 RICE RD, SAN ANTONIO, TX 78220-3513
(210) 648-0101
(210) 648-2252
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117387
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67-5823
MEDICARE SNF
TX
Enumeration date
07/13/2007
Last updated
10/08/2012
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