Shady Shores of Corpus Christi LLC
NPI #1588022057 in Corpus Christi, Texas
Provider Information
- NPI Number
- 1588022057
- Entity Type
- Organization
- Organization Name
- Shady Shores of Corpus Christi LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 29, 2016
- Last Updated
- Jan 29, 2016
Practice Location
- Address
- 1314 3RD ST
- City
- Corpus Christi
- State
- Texas
- ZIP Code
- 78404-2208
- Phone
- (361) 888-5511
Authorized Official
- Name
- MICHAEL WALLACE
- Title
- CEO
- Phone
- (214) 422-1622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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