Organization
CENTURY MISSION OAKS GEAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRNA ROBINSON (FACILITY ADMINISTRATOR)
(210) 924-8151
Entity
Organization
Contact information
Practice address
3030 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2337
(210) 924-8151
(210) 924-2208
Mailing address
3030 ROOSEVELT AVE, SAN ANTONIO, TX 78214-2337
(210) 924-8151
(210) 924-2208
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
112541
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005051
—
TX
Enumeration date
07/13/2005
Last updated
06/26/2008
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