Organization
ARBORETUM HEALTH CARE, INC.
Active
Other names
Renaissance Villa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL FELLBAURM (PRESIDENT)
(210) 828-5686
Entity
Organization
Contact information
Practice address
700 DYER ST, ROCKDALE, TX 76567-2208
(512) 446-2548
(512) 446-4277
Mailing address
210 W NOTTINGHAM DR, SUITE 200, SAN ANTONIO, TX 78209
(210) 828-5686
(210) 824-4669
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
115207
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000418403
—
TX
Enumeration date
10/17/2006
Last updated
07/28/2015
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