Organization · Type 2 NPI

Pecan Valley SCC LLC

Skilled Nursing Facility · San Antonio, TX

NPI number 1396124392 Active

Practice location

3838 E Southcross Blvd
San Antonio, TX 78222-3556

Call (210) 581-6994 Map

Fax (210) 572-6994

Mailing address

600 N Pearl St Ste 1050
Dallas, TX 75201-7495

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

9 other providers at this address

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NPI record

NPI: 1396124392
Entity type: Organization (Type 2)
Issued: May 22, 2015
Last updated: Mar 4, 2020
Status: Active

Other names

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SCC at Pecan Valley Rehabilitation and Healthcare Center · doing business as
SCC at Pecan Valley Rehabilitation and Healthcare Center · doing business as

Authorized official

Michael Beal
Chief Executive Officer
(214) 252-7600

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396124392

Pecan Valley SCC LLC's National Provider Identifier is 1396124392, issued on May 22, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in San Antonio, TX. The record was last updated on Mar 4, 2020.