Organization
PRIME CARE SEVEN, LLC
Active
Other names
Brighton Gardens of San Antonio
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY CARTER (EXECUTIVE DIRECTOR)
(210) 930-1040
Entity
Organization
Contact information
Practice address
855 E BASSE RD, SAN ANTONIO, TX 78209-1890
(210) 930-1040
(210) 930-1844
Mailing address
7900 WESTPARK DR, T-900, ATTN: MEDICARE BILLING, M. GARCIA, MC LEAN, VA 22102-4242
(703) 854-0823
(703) 854-0164
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114330
TX
Other
Enumeration date
05/10/2006
Last updated
06/18/2008
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