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
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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