Healthcare Provider Details

I. General information

NPI: 1033155007
Provider Name (Legal Business Name): POST ACUTE MEDICAL AT SAN ANTONIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 12/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8601 VILLAGE DR SUITE 220
SAN ANTONIO TX
78217-5512
US

IV. Provider business mailing address

1828 GOOD HOPE ROAD SUITE 102
ENOLA PA
17019-1203
US

V. Phone/Fax

Practice location:
  • Phone: 210-599-2030
  • Fax: 210-590-0639
Mailing address:
  • Phone: 717-731-9660
  • Fax: 210-829-8741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number000643
License Number StateTX

VIII. Authorized Official

Name: ANTHONY MISITANO
Title or Position: PRESIDENT
Credential:
Phone: 717-731-9660