Provider Demographics
NPI:1407028186
Name:REMINGTON MEDICAL RESORTS SAN ANTONIO
Entity Type:Organization
Organization Name:REMINGTON MEDICAL RESORTS SAN ANTONIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-733-5151
Mailing Address - Street 1:555 ROUND ROCK WEST
Mailing Address - Street 2:SUITE 390
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681
Mailing Address - Country:US
Mailing Address - Phone:512-733-5151
Mailing Address - Fax:512-733-5152
Practice Address - Street 1:5123 HAMILTON WOLF
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240
Practice Address - Country:US
Practice Address - Phone:512-733-5151
Practice Address - Fax:512-733-5152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility