Organization
GUADALUPE COUNTY HOSPITAL BOARD
Active
Other names
Northeast Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (TREASURER OF MANAGEMENT COMPANY)
(949) 540-1249
Entity
Organization
Contact information
Practice address
603 CORINNE DR, SAN ANTONIO, TX 78218-3303
(210) 824-7331
(210) 824-1334
Mailing address
603 CORINNE DR, SAN ANTONIO, TX 78218-3303
(210) 824-7331
(210) 824-7331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004268
—
TX
Enumeration date
09/20/2005
Last updated
03/10/2022
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