1073060570 NPI number — TOUCHSTONE STRATEGIES - MERCEDES LLC

Table of content: (NPI 1073060570)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073060570 NPI number — TOUCHSTONE STRATEGIES - MERCEDES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOUCHSTONE STRATEGIES - MERCEDES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MID VALLEY NURSING & REHABILITATION
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073060570
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/13/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
250 W NOTTINGHAM DR
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78209-1895
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-828-5686
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
601 N MILE 2 WEST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MERCEDES
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78570
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-828-5686
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/01/2016

Additional Information

Authorized Official

Authorized Official Last Name:
STUDER
Authorized Official First Name:
STANLEY
Authorized Official Middle Name:
S
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
210-828-5686

Provider Taxonomy Codes

  • Taxonomy code: 314000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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