NPI | 1164429601 |
---|---|
Doing Business As | RETAMA WEST OF VICTORIA, LLC |
Entity Type | Organization |
Authorized Contact | JEFF REEH President 210-572-0701 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 112031) |
Enumeration Date | 2005-06-30 |
Last Update Date | 2020-08-22 |