Organization
RJ MERIDIAN CARE ALTA VISTA LLC
Active
Other names
Meridian Care Monte Vista
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMIRO G LOZANO (MANAGING DIRECTOR)
(281) 465-0636
Entity
Organization
Contact information
Practice address
616 W RUSSELL PL, SAN ANTONIO, TX 78212-3658
(281) 465-0636
(281) 465-0748
Mailing address
25009 OAKHURST DR, SPRING, TX 77386-1975
(281) 465-0636
(281) 465-0748
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4473
—
TX
Enumeration date
11/30/2009
Last updated
05/03/2023
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