Provider Demographics
NPI:1013175520
Name:SELECT CORPUS CHRISTI LLC
Entity type:Organization
Organization Name:SELECT CORPUS CHRISTI LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:LEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-235-7000
Mailing Address - Street 1:1601 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 9
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6359
Mailing Address - Country:US
Mailing Address - Phone:888-753-6262
Mailing Address - Fax:888-753-6262
Practice Address - Street 1:5813 ESPLANADE DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4113
Practice Address - Country:US
Practice Address - Phone:361-991-9600
Practice Address - Fax:361-980-8989
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SELECT PROPERTY OPERATIONS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility