Organization
TI - KERRVILLE, L.L.C.
Active
Other names
PLAZA ON THE RIVER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH C TUTERA (PRESIDENT, CEO)
(816) 444-0900
Entity
Organization
Contact information
Practice address
808 GUADALUPE ST, KERRVILLE, TX 78028-5099
(830) 895-2636
Mailing address
808 GUADALUPE ST, KERRVILLE, TX 78028-5099
(830) 895-2636
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
15575
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269
—
TX
Enumeration date
12/19/2006
Last updated
10/15/2010
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