Organization
RIVER CITY CARE CENTER INC
Active
Other names
River City Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN LEON CONLEY CFO (CFO)
(817) 303-4089
Entity
Organization
Contact information
Practice address
921 NOLAN, SAN ANTONIO, TX 78202-2323
(210) 226-6397
(210) 226-8074
Mailing address
921 NOLAN, SAN ANTONIO, TX 78202-2323
(210) 226-6397
(210) 226-8074
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
314000000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001001928
—
TX
01
—
4417
FACILITY PROVIDER #
TX
Enumeration date
07/22/2006
Last updated
06/01/2010
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