Organization
CORONADO CONTINUING CARE CENTER LTD CO
Active
Other names
Coronado at Stone Oak
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN F UNDERHILL (CEO)
(214) 954-4114
Entity
Organization
Contact information
Practice address
19638 STONE OAK PKWY, SAN ANTONIO, TX 78258-3279
(214) 954-4114
(214) 871-3057
Mailing address
2537 GOLDEN BEAR DR, CARROLLTON, TX 75006-2377
(214) 954-4114
(214) 871-3057
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
138286
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025524
—
TX
Enumeration date
09/06/2013
Last updated
06/18/2014
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