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NPI Code Detail

MEDICARE: SENIOR MANAGEMENT SERVICES OF NORMANDY AT SAN ANTONIO INC

MEDICARE: SENIOR MANAGEMENT SERVICES OF NORMANDY AT SAN ANTONIO INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility114616TX

General Provider Information

NPI Number : 1659360972
Entity Type Code : Organization
Provider Name (Legal Business Name) : SENIOR MANAGEMENT SERVICES OF NORMANDY AT SAN ANTONIO INC
Provider Business Mailing Address
First Line : 800 W ARBROOK BLVD
Second Line : STE 210
City : ARLINGTON
State : TX
Zip : 76015-4327
Country : US
Telephone Number : 817-468-1991
Fax Number : 817-468-3133
Provider Business Practice Location Address
First Line : 841 RICE RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78220-3513
Country : US
Telephone Number : 210-648-0101
Fax Number : 210-648-4041
Authorized Official
Title or Position : PRESIDENT
Name : TROY CLANTON
Credential :
Telephone Number : 817-468-1991
Provider Enumeration Date : 10/19/2005
Last Update Date : 08/22/2020

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Directions to “SENIOR MANAGEMENT SERVICES OF NORMANDY AT SAN ANTONIO INC ” Practice Location

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