Organization
ALTAMIRA HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAMAR J JOHNSON (OWNER)
(415) 902-5163
Entity
Organization
Contact information
Practice address
200 CARLA ST, ZAPATA, TX 78076-3114
(415) 902-5163
Mailing address
200 CARLA ST, ZAPATA, TX 78076-3114
(415) 902-5163
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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