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Organization

SSC NUECES RETAMA LLC

Active
Other names
Retama Manor Nursing Center
Organization subpart
No

Provider details

NPI number
Authorized official
KELLE C SANTORO (SENIOR DIRECTOR ACCOUNTS RECIEVABLE)
(832) 467-5728
Entity
Organization

Contact information

Practice address
2322 MORGAN AVE, CORPUS CHRISTI, TX 78405-1947
(361) 882-4242
(361) 883-3726
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118447
TX
314000000X
Skilled Nursing Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001014485
TX
Enumeration date
11/07/2006
Last updated
11/17/2020
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