Provider Demographics
NPI:1437221678
Name:POST ACUTE MEDICAL AT VICTORIA, LLC
Entity Type:Organization
Organization Name:POST ACUTE MEDICAL AT VICTORIA, LLC
Other - Org Name:WARM SPRINGS SPECIALTY HOSPITAL OF VICTORIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:F
Authorized Official - Last Name:MISITANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-730-8710
Mailing Address - Street 1:4660 TRINDLE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5610
Mailing Address - Country:US
Mailing Address - Phone:717-730-8710
Mailing Address - Fax:
Practice Address - Street 1:102 MEDICAL DR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-3101
Practice Address - Country:US
Practice Address - Phone:361-576-6200
Practice Address - Fax:361-580-1213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX000831284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital