Organization
CALAVARAS CREEK HEALTHCARE LLC
Active
Other names
Pecan Valley Rehabilitation and Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER)
(949) 540-1249
Entity
Organization
Contact information
Practice address
3838 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3556
(210) 581-2273
(210) 572-6994
Mailing address
3838 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3556
(210) 581-2273
(210) 572-6994
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
01/20/2023
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