Organization
GRUENEPOINTE 1 CASA RIO, LLC
Active
Other names
The Rio at Mission Trails
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT DULLNIG (VICE PRESIDENT)
(210) 757-4987
Entity
Organization
Contact information
Practice address
6211 S NEW BRAUNFELS AVE, SAN ANTONIO, TX 78223-3175
(210) 531-0569
Mailing address
8502 HUEBNER RD STE 400, SAN ANTONIO, TX 78240-2466
(210) 757-4987
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
APPLIED FOR
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001027073
—
TX
01
—
104934
STATE LICENSE
TX
Enumeration date
07/22/2015
Last updated
09/01/2016
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