Organization
PECAN VALLEY HEALTHCARE LLC
Active
Other names
Pecan Valley Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CRANK (PRESIDENT)
(210) 525-7993
Entity
Organization
Contact information
Practice address
3838 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3556
(210) 525-7993
Mailing address
8000 IH 10 W, SUITE 1500, SAN ANTONIO, TX 78230-3802
(210) 525-7993
(210) 525-7992
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
129441
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001017939
—
TX
01
—
104259
FACILITY ID
TX
Enumeration date
10/08/2009
Last updated
07/23/2010
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