Poteet Manor Inc
Organization Active NPI Nursing Facility/Intermediate Care Facility · Poteet, TX
NPI 1720074420 · NPPES record last updated Mar 31, 2008
Key facts
- NPI
- 1720074420
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nursing Facility/Intermediate Care Facility 313M00000X
- License
- 112768 (TX)
- Legal business name
- POTEET MANOR INC
- Practice address
- 329 School Dr
Poteet, TX 78065-4307 - Phone
- (830) 742-3525
- Fax
- (830) 742-8710
- NPI assigned
- Sep 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Janice Pita
- Title
- Insurance/Medicare
- Phone
- (580) 622-6300
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 112768 | TX | Yes |
Addresses
Primary practice location
329 School Dr
Poteet, TX 78065-4307
Mailing address
329 School Dr
Poteet, TX 78065-4307
Phone (830) 742-3525
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HH026S | Other | TX | BLUE CROSS BLUE SHIELD TX |
Other names
- Legacy Living Centers
Other providers in Poteet, TX
- Oak Creek Estate Alf
- Oak Creek Personal Care Home
- Angela Pena
- Elizabeth Robles Pena
- Dayna Nicole Poorboy
- Poteet Nursing and Rehabilitation, LP
- Selina Marie Reyna
- Vanessa Salazar
- Latonya Shadowens
- Shady Shores of Poteet LLC
All providers in Poteet, TX · Nursing Facility/Intermediate Care Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.