| NPI | 1699895565 |
|---|---|
| Doing Business As | SAN JUAN LIVING CENTER |
| Entity Type | Organization |
| Authorized Contact | KELLE C SANTORO Sr Director Ar 832-467-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: CO 1300) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: CO 1300) |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2020-11-16 |