Organization
RETAMA MANOR DEL RIO LLC
Active
Other names
Retama Manor Del Rio
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO ZAMORA (PRESIDENT)
(830) 775-7477
Entity
Organization
Contact information
Practice address
100 HERRMANN DR, DEL RIO, TX 78840-4125
(830) 775-7477
Mailing address
930 RIDGEBROOK RD, SPARKS, MD 21152-9390
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014915
—
TX
Enumeration date
01/29/2007
Last updated
01/20/2009
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