NPI | 1780073056 |
---|---|
Doing Business As | COUNTRY CARE MANOR |
Entity Type | Organization |
Authorized Contact | GEORGE B HERNANDEZ President/Chief Executive Officer 210-358-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2015-01-09 |
Last Update Date | 2015-01-09 |