Organization
SHADY SHORES OF CORPUS CHRISTI LLC
Active
Other names
Vista Del Mar Health & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WALLACE (CEO)
(214) 422-1622
Entity
Organization
Contact information
Practice address
1314 3RD ST, CORPUS CHRISTI, TX 78404-2208
(361) 888-5511
(361) 888-6267
Mailing address
320 EAGLE DR, SUITE 201, DENTON, TX 76201-6898
(214) 422-1622
(972) 755-6795
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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