Provider Demographics
NPI:1578906996
Name:NATIONA NURSING AND REHAB ADULT, LLC
Entity Type:Organization
Organization Name:NATIONA NURSING AND REHAB ADULT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:210-822-0477
Mailing Address - Street 1:1635 NE LOOP 410 STE 910
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1622
Mailing Address - Country:US
Mailing Address - Phone:210-822-0477
Mailing Address - Fax:210-822-0581
Practice Address - Street 1:1635 NE LOOP 410 STE 910
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1622
Practice Address - Country:US
Practice Address - Phone:210-822-0477
Practice Address - Fax:210-822-0581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008466251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health