SELECT SPECIALTY HOSPITAL - SAN ANTONIO INC
Hospitals at Dallas St, San Antonio, TX

License number
Texas 007193
Category
Hospitals
Type
Long Term Care Hospital
Owner
Name: MR. MICHAEL E. TARVIN
Title: VICE PRESIDENT
Phone: (717) 972-1100
Address
Address 2
111 Dallas St FL 4TH, San Antonio, TX 78205
4714 Gettysburg Rd, Navy Sup Dpt, PA 17055
National Provider ID: 1063412666
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SELECT SPECIALTY HOSPITAL - SAN ANTONIO, INC

4716 Gettysburg Rd, Mechanicsburg, PA 17055

Registration:
Jun 25, 1999
State ID:
0012731306
Entity State:
DE
Vice Presis:
Brian Rusgnuolo (Vice Presi), 4714 Gettysburg Rd, Mechanicsburg, PA 17055,Michael E Tarvin (Secretary), 4714 Gettysburg Rd, Mechanicsburg, PA 17055,Stevan B Baird (Vice Presi), 4714 Gettysburg Rd, Mechanicsburg, PA 17055,...
Agent:
Ct Corporation System,1999 Bryan St, Dallas, TX 75201 (Physical)
TIN:
12518430892

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