Organization
CENTURY-LYNNHAVEN-GEAC,LLC
Active
Other names
Lynnhaven Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE M RYAN RN,MS (OWNER'S REPRESENTATIVE)
(952) 837-0818
Entity
Organization
Contact information
Practice address
3030 FIG ST, CORPUS CHRISTI, TX 78404-3834
(361) 882-1948
(361) 888-8530
Mailing address
3030 FIG ST, CORPUS CHRISTI, TX 78404-3834
(361) 882-1948
(361) 888-8530
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113020
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005039
—
TX
Enumeration date
09/30/2005
Last updated
08/22/2020
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