Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Other names
The Chandler Estate in Laurel Heights
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY WALLACE (CFO)
(830) 401-7220
Entity
Organization
Contact information
Practice address
1502 HOWARD ST, SAN ANTONIO, TX 78212-3444
(210) 737-5100
(210) 737-5157
Mailing address
1215 E COURT ST, SEGUIN, TX 78155-5129
(830) 410-7220
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111729
TX
332BN1400X
Nursing Facility Supplies (DME)
117449
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
117449
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05124
—
TX
Enumeration date
11/08/2005
Last updated
08/31/2017
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