Organization
CASCADE MEDINA HEALTH SERVICES, LTD
Active
Other names
Medina Valley Health and Rehabilitaion Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD M. HANEY (GENERAL PARTNER)
(936) 634-6633
Entity
Organization
Contact information
Practice address
913 US HIGHWAY 90 W, CASTROVILLE, TX 78009-3853
(830) 931-2900
(830) 931-2955
Mailing address
913 US HIGHWAY 90 WEST, CASTROVILLE, TX 78009-3853
(830) 931-2900
(830) 931-2955
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
111080
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004702
—
TX
Enumeration date
06/01/2005
Last updated
09/22/2009
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