Organization
REGENCY IHS OF RIO GRANDE MANOR, LLC
Active
Other names
Windsor Nursing and Rehabilitation Center of Rio Grande City
Organization subpart
No
Provider details
NPI number
Authorized official
DONOVAN DEKOWSKI (SECRETARY/TREASURER)
(361) 576-0694
Entity
Organization
Contact information
Practice address
400 S PETE DIAZ JR AVE, RIO GRANDE CITY, TX 78582-4817
(956) 487-2513
(956) 487-1053
Mailing address
101 W GOODWIN AVE STE 600, VICTORIA, TX 77901-6757
(361) 894-0128
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004995
—
TX
Enumeration date
07/27/2022
Last updated
08/19/2022
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