Organization
AMISTAD NURSING HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN M. WADE (VICE PRESIDENT)
(830) 278-5641
Entity
Organization
Contact information
Practice address
200 RIVERSIDE DR, UVALDE, TX 78801-5727
(830) 278-5641
(830) 278-5498
Mailing address
200 RIVERSIDE DR, UVALDE, TX 78801-5727
(830) 278-5641
(830) 278-5498
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004216
—
TX
Enumeration date
06/07/2006
Last updated
08/22/2020
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